Individual
MRS. PATRICIA LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9581 KICKAPOO PASS, STREETSBORO, OH 44241-5309
(330) 348-7373
Mailing address
9581 KICKAPOO PASS, STREETSBORO, OH 44241-5309
(330) 348-7373
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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