Individual
LARA BELONGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(760) 446-3551
Mailing address
9725 SAN MARCOS RD, ATASCADERO, CA 93422-3845
(775) 443-5837
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
95148396
CA
Other
Enumeration date
05/01/2022
Last updated
05/01/2022
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