Individual
ANGELA YOLANDA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 N EL CENTRO AVE, LOS ANGELES, CA 90038-3805
(916) 388-6321
Mailing address
815 N EL CENTRO AVE, LOS ANGELES, CA 90038-3805
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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