MR. Tate Kennedy Larson
NPI #1730652884 in Logan, Utah
Provider Information
- NPI Number
- 1730652884
- Entity Type
- Individual
- Name
- MR. Tate Kennedy Larson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Jan 10, 2019
- Last Updated
- Jan 10, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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