Individual
MR. JUAN CARLOS GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
513 S ADAMS ST. APT. 110, GLENDALE, CA 91205
(818) 770-4802
(818) 334-3195
Mailing address
18101 NW 68TH AVE APT B206, HIALEAH, FL 33015-3936
(786) 299-2338
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
01/12/2015
Last updated
07/02/2018
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