Jacqueline Larsen
NPI #1720724644 in West End, North Carolina
Provider Information
- NPI Number
- 1720724644
- Entity Type
- Individual
- Name
- Jacqueline Larsen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- May 12, 2022
- Last Updated
- May 12, 2022
Practice Location
- Address
- 244 WOODDALE LN
- City
- West End
- State
- North Carolina
- ZIP Code
- 27376-8754
- Phone
- (910) 638-8811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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