Individual
MS. ASHLEY MARIE-FREW LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1975 VERDUGO BLVD, LA CANADA FLINTRIDGE, CA 91011-3018
(818) 249-9454
Mailing address
PO BOX 2542, MONROVIA, CA 91017-2542
(626) 353-2823
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA22639
CA
Other
Enumeration date
10/23/2012
Last updated
12/14/2017
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