Individual
BERTA JAIME LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-3000
Mailing address
851 9TH ST, ORANGE COVE, CA 93646-2307
(559) 672-0452
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07230350
CA
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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