Individual
GABRIELA LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1527 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2302
(323) 500-0191
Mailing address
13079 VAN NUYS BLVD, PACOIMA, CA 91331-2575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17132
CA
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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