GRACE FERMINA DE LARA

LOMA LINDA, CA
NPI1750939096
Other NameGRACE DE LARA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  847841)
Enumeration Date2019-08-29
Last Update Date2019-08-29
Business Address
GRACE FERMINA DE LARA RN-BC, BSN
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
Mailing Address
GRACE FERMINA DE LARA RN-BC, BSN
707 PANTERA DR
DIAMOND BAR, CA 91765-1893
Phone number: 909-800-6821