RYAN TIMOTHY LARSON

SAN LUIS OBISPO, CA
NPI1962234492
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2024-08-14
Last Update Date2025-04-15
Business Address
RYAN TIMOTHY LARSON
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
Mailing Address
RYAN TIMOTHY LARSON
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-540-6500
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