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Individual

DANIELLE NICOLE LARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12820 BESS AVE, BALDWIN PARK, CA 91706-4546
(626) 338-4019
Mailing address
337 W 2ND ST, SAN DIMAS, CA 91773-2029
(626) 523-8229

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP37942
CA

Other

Enumeration date
05/27/2026
Last updated
05/27/2026
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