JUAN LARA

DOWNEY, CA
NPI1740940238
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2021-12-23
Last Update Date2021-12-23
Business Address
JUAN LARA
11501 DOLAN AVE
DOWNEY, CA 90241-4921
Phone number: 562-923-7894
Mailing Address
JUAN LARA
11501 DOLAN AVE
DOWNEY, CA 90241-4921
Phone number: 562-923-7894
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