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Individual

MRS. MARIA ADELA LARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11951 HESPERIA RD, HESPERIA, CA 92345-1855
(760) 956-2434
(760) 947-6311
Mailing address
11951 HESPERIA RD, HESPERIA, CA 92345-1855
(760) 956-2434
(760) 947-6311

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
09/14/2022
Last updated
09/14/2022
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