Individual
JODY MARIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3741 TOWNLINE RD, WISCONSIN RAPIDS, WI 54494-8137
(715) 325-2276
Mailing address
3741 TOWNLINE RD, WISCONSIN RAPIDS, WI 54494-8137
(715) 325-2276
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
150029030
WI
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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