JAQUELINE DIANE LARA

ANAHEIM, CA
NPI1356791859
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  123749)
Enumeration Date2016-06-15
Last Update Date2022-07-19
Business Address
JAQUELINE DIANE LARA
2026 W BEACON AVE
ANAHEIM, CA 92804-4406
Phone number: 949-426-3125
Mailing Address
JAQUELINE DIANE LARA
2026 W BEACON AVE
ANAHEIM, CA 92804-4406
Phone number: 949-426-3125
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