MICHELE MARIE LARSON

TOOELE, UT
NPI1437455482
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  375534-4405)
Enumeration Date2011-02-08
Last Update Date2011-02-08
Business Address
-- MICHELE MARIE LARSON FNP
1831 N 210 W
TOOELE, UT 84074-9124
Phone number: 435-224-3161
Mailing Address
-- MICHELE MARIE LARSON FNP
1831 N 210 W
TOOELE, UT 84074-9124
Phone number: 435-224-3161