Wyatt, Maria Lara

Wyatt, Maria Lara is an sole proprietor health care provider with primary practice located at 1295 W State St Ste 102 , El Centro CA 92243-2881. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wyatt, Maria Lara can be contacted via phone (760) 353-0763.

Contact Information

Primary practice address
1295 W State St Ste 102 El Centro CA 92243-2881
Phone: (760) 353-0763
Fax: (760) 352-4061
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1497809347
LBN Legal business name Wyatt, Maria Lara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 18 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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