JACK DE LARA

NORWALK, CA
NPI1972347334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95079088)
Enumeration Date2024-06-20
Last Update Date2024-06-20
Business Address
JACK DE LARA
13100 STUDEBAKER RD
NORWALK, CA 90650-2500
Phone number: 855-464-2234
Mailing Address
JACK DE LARA
13100 STUDEBAKER RD
NORWALK, CA 90650-2500
Phone number: 855-464-2234
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