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Individual

EMILY STEPHANIE LARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1333 CHESTNUT AVE, LONG BEACH, CA 90813-2944
(562) 753-2303
Mailing address
1333 CHESTNUT AVE, LONG BEACH, CA 90813-2944
(562) 753-2303

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
733668
CA

Other

Enumeration date
09/04/2025
Last updated
09/04/2025
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