Larson, Malissa Ann

Larson, Malissa Ann is an sole proprietor health care provider with primary practice located at 192 Richmond Ave , Buffalo NY 14222-2112. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Exercise & Sports, Nursing Service Related Providers / Doula. Nursing Service Related Providers / Doula is her primary health care specialty. Larson, Malissa Ann can be contacted via phone (646) 823-5401.

Contact Information

Primary practice address
192 Richmond Ave Buffalo NY 14222-2112
Phone: (646) 823-5401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X
Nursing Service Related Providers / Doula 374J00000X

Profile Details

NPI number 1982175824
LBN Legal business name Larson, Malissa Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2018
Last updated Jun 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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