NPI 1124799242
Victoria Larios
Practice location
- Address
- 1050 Register St, North Charleston, SC 29405-2421
- Phone
- (843) 529-0158
- Mailing address
- 6767 N Basin Ave, Portland, OR 97217-3929
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1124799242
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Sep 2021
- Record last updated
- 30 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.