Individual
ROSE ANN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S TUSTIN, C, ORANGE, CA 92866
(714) 361-4860
Mailing address
401 S TUSTIN, C, ORANGE, CA 92866
(714) 361-4860
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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