CANDICE LARA

FAR ROCKAWAY, NY
NPI1396023040
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  298848-1)
Enumeration Date2011-07-29
Last Update Date2011-07-29
Business Address
-- CANDICE LARA LPN
316 BEACH 65TH ST
FAR ROCKAWAY, NY 11692-1425
Phone number: 347-359-0602
Mailing Address
-- CANDICE LARA LPN
PO BOX 60179
BROOKLYN, NY 11206-0179
Phone number: 347-359-0602