MRS. Larissa Mae Ashwell

NPI #1568989069 in Chippewa Falls, Wisconsin

Provider Information

NPI Number: 1568989069
Entity Type: Individual
Name: MRS. Larissa Mae Ashwell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mastectomy Fitter
Enumeration Date: Aug 24, 2017
Last Updated: Aug 24, 2017

Practice Location

Address: 101 N BRIDGE ST STE 1
City: Chippewa Falls
State: Wisconsin
ZIP Code: 54729-2483
Phone: (715) 226-0775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mastectomy Fitter	224900000X	Primary

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