Lara, Jettele Joy D

Lara, Jettele Joy D is an individual health care provider with primary practice located at 1135 S Sunset Ave Ste 401 , West Covina CA 91790-3921. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lara, Jettele Joy D can be contacted via phone (626) 732-8393.

Contact Information

Primary practice address
1135 S Sunset Ave Ste 401 West Covina CA 91790-3921
Phone: (626) 732-8393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95019623 California

Profile Details

NPI number 1043931629
LBN Legal business name Lara, Jettele Joy D
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2022
Last updated Feb 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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