JACOB INGRAM LARA

GILROY, CA
NPI1801597505
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2023-03-10
Last Update Date2024-08-20
Business Address
JACOB INGRAM LARA
9015 MURRAY AVE STE 100
GILROY, CA 95020-3675
Phone number: 408-842-7138
Mailing Address
JACOB INGRAM LARA
9015 MURRAY AVE STE 100
GILROY, CA 95020-3675
Phone number: 408-842-7138
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