MARIELLE CHLOE ALINE LARSEN

MOSES LAKE, WA
NPI1861182503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA.PA.61631353)
Enumeration Date2023-05-08
Last Update Date2025-02-12
Business Address
MARIELLE CHLOE ALINE LARSEN PA-C
605 S COOLIDGE ST
MOSES LAKE, WA 98837-1873
Phone number: 435-557-6842
Mailing Address
MARIELLE CHLOE ALINE LARSEN PA-C
650 N 600 E
PROVO, UT 84606-1912
Phone number: