ALEX IVAN LARA

MORENO VALLEY, CA
NPI1558068213
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2471M1202X Radiologic Technologist, Magnetic Resonance Imaging
Enumeration Date2023-02-13
Last Update Date2023-02-13
Business Address
ALEX IVAN LARA
13527 CRAPE MYRTLE DR
MORENO VALLEY, CA 92553-4396
Phone number: 951-421-5678
Mailing Address
ALEX IVAN LARA
13527 CRAPE MYRTLE DR
MORENO VALLEY, CA 92553-4396
Phone number: 951-421-5678