LARINA BRANCH

OLYMPIA FIELDS, IL
NPI1144678905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209014322)
Enumeration Date2016-06-01
Last Update Date2024-03-22
Business Address
LARINA BRANCH NP
3700 W 203RD ST STE 301
OLYMPIA FIELDS, IL 60461-1182
Phone number: 708-679-2850
Mailing Address
LARINA BRANCH NP
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800