Individual
EDWIN LIBRADO GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7401 MAR VISTA WAY, CITRUS HEIGHTS, CA 95621-1724
(916) 726-4041
Mailing address
7401 MAR VISTA WAY, CITRUS HEIGHTS, CA 95621-1724
(916) 726-4041
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
347003996
CA
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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