DANIEL CARLOS LARA

CONWAY, SC
NPI1184412611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-25
Last Update Date2026-03-24
Business Address
DANIEL CARLOS LARA
300 SINGLETON RIDGE RD
CONWAY, SC 29526-9142
Phone number: 843-234-7405
Mailing Address
DANIEL CARLOS LARA
300 SINGLETON RIDGE RD
CONWAY, SC 29526-9142
Phone number: 843-234-7405