MARIA LARA WYATT

EL CENTRO, CA
NPI1497809347
Former NameMARIA ISABEL LARA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-01-22
Last Update Date2007-07-08
Business Address
Mrs. MARIA LARA WYATT
1295 W STATE ST STE 102
EL CENTRO, CA 92243-2881
Phone number: 760-353-0763
Mailing Address
Mrs. MARIA LARA WYATT
667 LEE RD
IMPERIAL, CA 92251-9503
Phone number: 760-355-0044