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Individual

MR. JAIME LARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CLINICAL NUTRITION

Contact information

Practice address
1247 HIGHLAND AVE, SUITE # 4, NATIONAL CITY, CA 91950-3552
(619) 987-3232
(619) 474-6061
Mailing address
2730 GWYNNE AVE, NATIONAL CITY, CA 91950-7721
(619) 987-3232
(619) 474-6061

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary

Other

Enumeration date
10/01/2009
Last updated
10/01/2009
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