EDWIN LARA

ENCINO, CA
NPI1740841469
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-06-24
Last Update Date2019-06-24
Business Address
EDWIN LARA
16500 VENTURA BLVD
ENCINO, CA 91436-2011
Phone number: 818-788-1003
Mailing Address
EDWIN LARA
16500 VENTURA BLVD
ENCINO, CA 91436-2011
Phone number:
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