Individual
JESSICA LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 PICCADILLY PL APT D, SAN BRUNO, CA 94066-2138
(435) 862-0608
Mailing address
145 PICCADILLY PL APT D, SAN BRUNO, CA 94066-2138
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CA
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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