Individual
CHRISTY LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 12TH ST STE 1600, OAKLAND, CA 94607-3885
(510) 607-4070
Mailing address
601 12TH ST STE 1600, OAKLAND, CA 94607-3885
(510) 607-4070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
651244
CA
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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