Individual
TERAH R LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
1751 COLE ST, ENUMCLAW, WA 98022-3507
(206) 227-2211
Mailing address
1913 WILSON AVE, ENUMCLAW, WA 98022-3303
(206) 227-2211
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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