Zoey L Larson CNA

NPI 1558646570 - Home Health Aide - 374U00000X

NPI Details
NPI 1558646570
Gender Female
Enumeration Date 10/21/2011
Last Updated 10/21/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1989 S BAKER RD
BALSAM LAKE WI, 54810-2118, US
Phone (715) 410-7990
Fax
Business Location
1989 S BAKER RD
BALSAM LAKE WI, 54810-2118, US
Phone (715) 410-7990
Fax
Toxanomy
Taxonomy Code 374U00000X
License State Wisconsin
License Number 270670
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According to our database, Zoey L Larson CNA NPI is 1558646570, taxonomy code is 374U00000X and license number is 270670, license state is located at Wisconsin. Zoey L Larson CNA physically located at 1989 S Baker Rd, Balsam Lake WI, 54810-2118. NPI Number Zoey L Larson CNA has the Individual type.

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1558646570 NPI number is provided on an as is basis without warranty of any kind. 1558646570 is maintained by the National Plan & Provider Enumeration System. The contents of Zoey L Larson CNA are for informational purposes only.