Lara, Miquela G

Lara, Miquela G is an individual health care provider with primary practice located at 116 Frankfort St , Daly City CA 94014-1313. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Lara, Miquela G can be contacted via phone (415) 819-3452.

Contact Information

Primary practice address
116 Frankfort St Daly City CA 94014-1313
Phone: (415) 819-3452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1902445042
LBN Legal business name Lara, Miquela G
Credentials N/A
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2020
Last updated Jan 6th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902445042 NPPES
California Other F6925242 ANTHEM BLUECROSS

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