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Contact Information

SHALIMAR M AYUSO LARSON
9500 FRONT ST S STE 100
LAKEWOOD, WA98499-9415
 Phone: 253-655-0645
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for SHALIMAR M AYUSO LARSON · (Female)

NPI Number 1437710068
Status Active
Credentials
Entity Individual
Enumeration date 06/25/2019
Last updated 06/25/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WA License # LP60600575
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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