LARA DIA MANSOUR

FONTANA, CA
NPI1780264770
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  20466)
Enumeration Date2021-04-13
Last Update Date2023-08-02
Business Address
LARA DIA MANSOUR DO
17234 VALLEY BLVD BUILDING A
FONTANA, CA 92335-6720
Phone number: 833-574-2273
Mailing Address
LARA DIA MANSOUR DO
17234 VALLEY BLVD BUILDING A
FONTANA, CA 92335-6720
Phone number: