LARISSA RENEE RAUN

FOLSOM, CA
NPI1588938252
Former NameLARISSA RENEE VAUGHAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  38824)
Enumeration Date2012-02-28
Last Update Date2012-02-28
Business Address
-- LARISSA RENEE RAUN PT
1635 CREEKSIDE DR 101
FOLSOM, CA 95630-3830
Phone number: 916-983-5611
Mailing Address
-- LARISSA RENEE RAUN PT
1635 CREEKSIDE DRIVE 101
FOLSOM, CA 95630-3830
Phone number: 916-983-5611
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