JAQUELINE LARA

GARDEN GROVE, CA
NPI1811440449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2016-08-01
Last Update Date2016-08-01
Business Address
-- JAQUELINE LARA
12755 BROOKHURST ST
GARDEN GROVE, CA 92840-4857
Phone number: 714-638-8277
Mailing Address
-- JAQUELINE LARA
12755 BROOKHURST ST
GARDEN GROVE, CA 92840-4857
Phone number: