Individual
MRS. DESIREE B LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 MARKET ST RIDGE HILL, SUITE 376, YONKERS, NY 10710-1071
(914) 226-3439
Mailing address
73 MARKET ST STE 376, YONKERS, NY 10710-7619
(914) 226-3439
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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