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Jeffrey Larsen, HS3
NPI 1598830655 · on the registry since 2006
Practice
- Address
- 599 Tomales Rd
Petaluma, CA 94952 - Phone
- (707) 765-7200
- Organisation at this address
- Columbia-Arora
Petaluma Tracen Uscg Phcy
Us Coast Guard Finance Center
Coast Guard Training Center PetalumaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 69
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California