LARISSA N BOTCHARNIKOVA

REDDING, CA
NPI1720122054
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  NP17636)
Enumeration Date2007-02-19
Last Update Date2012-05-17
Business Address
-- LARISSA N BOTCHARNIKOVA NP
1035 PLACER ST
REDDING, CA 96001-1125
Phone number: 530-246-5710
Mailing Address
-- LARISSA N BOTCHARNIKOVA NP
PO BOX 992790
REDDING, CA 96099-2790
Phone number: 530-246-5710
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