Individual
ADRIANA NOEMI LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(760) 845-3982
Mailing address
30451 SINGER LN, MENIFEE, CA 92584-5616
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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