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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WALESKA LARICE, M.D.

Active Sole Proprietor

WALESKA LARICE, M.D. is a Emergency Medical Services healthcare provider located in FENTON, Missouri. NPI 1972827830 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Services · FENTON, MO

Registration Details

NPI Number
1972827830
Provider Type
Individual
Gender
Female
NPI Issued
Mar 22, 2010 (16.409274220983 yrs)
Last Updated
Sep 12, 2018
Licenses
2479 (VI)
036134631 (IL)
ME117446 (FL)
2013020319 (MO)
2013020319 (MO)
Sole Proprietor
Yes

Practice Information

Address
1015 BOWLES AVE
FENTON, MO, 63026
Browse MO providers · Browse ZIP 63026
Phone
6364962000
Primary Specialty
Emergency Medical Services
207PE0004X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine
Additional Specialty
Emergency Medical Services

Other Emergency Medical Services Providers in FENTON, MO

Name Credential NPI
AKEEB ADEDOKUN MD 1144251679
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.