Individual
TOMASA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17132 SW 137TH CT, MIAMI, FL 33177-6499
(678) 812-9164
Mailing address
17132 SW 137TH CT, MIAMI, FL 33177-6499
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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