Individual
CHRISTIAN LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
3820 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-3625
(310) 632-0415
Mailing address
3820 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-3625
(310) 632-0415
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00793690
CA
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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