| Doctor Name: | MRS. MARSHA ANN LARSON |
| NPI Number: | 1295858249 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN336299 |
| Business Practice Address: | 40 G. St B Los Banos, CA - 936353320 |
| Business Phone Number: | 2097106100 |
| Business Fax Number: | 2098272009 |
| Mailing Address: | 18706 Lexington Ave, DOS PALOS |
| State: | CA |
| Postal Code: | 936209712 |
| Phone Number: | 2097691493 |
| Fax Number: | |
| NPI Enumeration Date: | 04/06/2007 |
| NPI Last Update Date: | 05/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | RN336299 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |