Individual
ASUZENA LAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
746 ADA ST, CHULA VISTA, CA 91911-2693
(619) 643-5418
Mailing address
746 ADA ST, CHULA VISTA, CA 91911-2693
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/09/2018
Last updated
02/21/2020
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