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Individual
CRYSTAL GARCIA
Active
Individual
CRYSTAL GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1155894
TX
363LG0600X
Gerontology Nurse Practitioner
1155894
TX
363LP2300X
Primary Care Nurse Practitioner
1155894
TX
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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