Individual
CORTNEY TAYLOR LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2747 4 MILE RD NW, GRAND RAPIDS, MI 49544-9207
(231) 519-0273
Mailing address
2747 4 MILE RD NW, GRAND RAPIDS, MI 49544-9207
(231) 519-0273
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86100007
MI
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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