Jaiva Blair Larsen
ActiveCalifornia license A130178
License
- Licensed by
- Medical Board of California
- License number
- A130178
- Status
- Active (Current)
- First issued
- May 3, 2014
- Expires
- July 31, 2027
- License holder
- Jaiva Blair Larsen
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
435 Windham St
Santa Cruz, CA 95062-2463
Santa Cruz, CA 95062-2463
Santa Cruz County