Individual
MATY M LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 KIRK CIR, BESSEMER CITY, NC 28016-7786
(323) 690-8223
Mailing address
216 KIRK CIR, BESSEMER CITY, NC 28016-7786
(323) 690-8223
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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