Individual
SONIA LARA-ANGULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 CAMILLE DR, CARSON CITY, NV 89706-2707
(775) 230-9797
Mailing address
1805 CAMILLE DR, CARSON CITY, NV 89706-2707
(775) 230-9797
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5057988418
—
NV
Enumeration date
11/08/2013
Last updated
11/08/2013
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