FRANCISCO ROBERTO LARA

NORWALK, CT
NPI1336707454
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT  1234)
Enumeration Date2019-06-04
Last Update Date2019-06-04
Business Address
FRANCISCO ROBERTO LARA ATC
490 WESTPORT AVE
NORWALK, CT 06851-4424
Phone number: 203-614-9635
Mailing Address
FRANCISCO ROBERTO LARA ATC
490 WESTPORT AVE
NORWALK, CT 06851-4424
Phone number: