Individual
LETIA SOPHIA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 A STREET, EKWOK, AK 99580
(907) 464-3331
Mailing address
PO BOX 130, DILLINGHAM, AK 99576-0130
(907) 842-5201
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AK
Other
Enumeration date
09/19/2019
Last updated
04/03/2025
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