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Larissa Johnosn
Specialist in Valatie, New York
NPI 1629514211

Larissa Johnosn is a Specialist based in Valatie, NY. Larissa Johnosn practices in Valatie, NY. The NPI Number for Larissa Johnosn is 1629514211 and holds a License No. 882956141 (New York).

The current practice location address for Larissa Johnosn is 185 Dahlgren Rd Lot 12, Valatie, NY and can be reached out via phone at 518-774-9971.

Location: 185 Dahlgren Rd Lot 12, Valatie, NY, 12184-4719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629514211
Provider Name
Larissa Johnosn
Credential
Provider Entity Type
Individual
Gender
Female
Address
185 Dahlgren Rd Lot 12, Valatie, NY, 12184-4719
Phone Number
518-774-9971
Fax Number
Provider Enumeration Date
01/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
185 Dahlgren Rd Lot 12
City
Valatie
State
New York
Zip
12184-4719
Phone Number
518-774-9971
Fax Number
person
Provider Business Mailing Address Details
Address
185 Dahlgren Rd Lot 12
City
Valatie
State
New York
Zip
12184-4719
Phone Number
518-774-9971
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
882956141 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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