Individual
LINDA M GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4304 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4811
(505) 888-1075
(505) 888-1082
Mailing address
4304 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4811
(505) 888-1075
(505) 888-1082
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2019-0044
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA2019-0044
NM PA LICENSE
NM
Enumeration date
06/28/2019
Last updated
06/28/2019
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