GENENE LARA

PISMO BEACH, CA
NPI1417647561
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  304074)
Enumeration Date2023-05-11
Last Update Date2023-05-11
Business Address
GENENE LARA
271 FIVE CITIES DR
PISMO BEACH, CA 93449-3009
Phone number: 805-473-7499
Mailing Address
GENENE LARA
PO BOX 2638
PISMO BEACH, CA 93448-2638
Phone number: 805-473-7499