AMANDA MICHELLE LARA

DORAL, FL
NPI1356949978
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL4328)
Enumeration Date2020-10-15
Last Update Date2020-10-15
Business Address
AMANDA MICHELLE LARA LAT, ATC
11100 NW 27TH ST
DORAL, FL 33172-5001
Phone number: 305-591-0020
Mailing Address
AMANDA MICHELLE LARA LAT, ATC
2401 OVERBROOK ST APT 206
MIAMI, FL 33133-3197
Phone number: 786-255-0002
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