ERNESTO ALFONSO LARA

HILLSBORO, OR
NPI1699011908
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  17920)
Enumeration Date2012-12-14
Last Update Date2013-03-14
Business Address
Mr. ERNESTO ALFONSO LARA L.M.T
5405 SE ALEXANDER ST
HILLSBORO, OR 97123-8584
Phone number: 971-409-8301
Mailing Address
Mr. ERNESTO ALFONSO LARA L.M.T
2520 SW 204TH AVE
BEAVERTON, OR 97006-1871
Phone number: 971-409-8301
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