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Individual
MS. LINDA ELAINE LARA
Active
Individual
MS. LINDA ELAINE LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMUSIC; YOGA CERT.
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020-801-504
FEIN
NJ
Enumeration date
09/27/2017
Last updated
07/21/2022
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