NATHANIEL EDWARD LARA

MADERA, CA
NPI1366899940
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  53394)
Enumeration Date2016-05-24
Last Update Date2016-05-24
Business Address
Mr. NATHANIEL EDWARD LARA PA
344 E 6TH ST
MADERA, CA 93638-3631
Phone number: 559-664-4000
Mailing Address
Mr. NATHANIEL EDWARD LARA PA
344 E 6TH ST
MADERA, CA 93638-3631
Phone number: 559-664-4000
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