Individual
SHELLY LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1216 E 5TH ST, ARLINGTON, WA 98223-1119
(360) 618-6270
Mailing address
315 N FRENCH AVE, ARLINGTON, WA 98223-1317
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00057368
WA
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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