MICHAEL A LARA

STREETSBORO, OH
NPI1174354807
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy347C00000X Private Vehicle
Additional Taxonomies343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2024-08-13
Last Update Date2024-08-13
Business Address
Mr. MICHAEL A LARA
9581 KICKAPOO PASS
STREETSBORO, OH 44241-5309
Phone number: 330-472-3731
Mailing Address
Mr. MICHAEL A LARA
9581 KICKAPOO PASS
STREETSBORO, OH 44241-5309
Phone number: 330-472-3731
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