Individual
CELESTE FERNANDEZ DE LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11115 DUNCAN AVE, LYNWOOD, CA 90262-3038
(562) 841-2020
Mailing address
20695 S WESTERN AVE STE 132, TORRANCE, CA 90501-1834
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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