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Individual

DR. MATTHEW LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, CNM, WHNP-BC

Contact information

Practice address
18077 OUTER HWY 18 STE 100, APPLE VALLEY, CA 92307-2168
(760) 946-8169
(760) 946-8875
Mailing address
18077 OUTER HWY 18 STE 100, APPLE VALLEY, CA 92307-2168
(760) 946-8169
(760) 946-8875

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
236034
CA

Other

Enumeration date
05/20/2019
Last updated
01/03/2022
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