HERACLIO LARA

SANTA MARIA, CA
NPI1396943338
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-07-10
Last Update Date2007-07-10
Business Address
Mr. HERACLIO LARA
519 W TAYLOR ST SPC 319
SANTA MARIA, CA 93458-1048
Phone number: 805-925-9811
Mailing Address
Mr. HERACLIO LARA
519 W TAYLOR ST SPC 319
SANTA MARIA, CA 93458-1048
Phone number: 805-925-9811
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