Individual
IRIS LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 257-6343
Mailing address
3595 SANTA FE AVE SPC 36, LONG BEACH, CA 90810-4337
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
29430
CA
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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