SearchCalifornia367500000X

Yaniset Lastra Martin

NPI 1396315909 · on the registry since 2021 · sole proprietor

Practice

Address
12228 Ramona Ave
Hawthorne, CA 90250
Phone
(424) 285-9222

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
390200000X
Licence states on file
CA, NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California