Individual
DIANN GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2542 S BASCOM AVE, STE 110, CAMPBELL, CA 95008-5526
(408) 559-3403
Mailing address
2542 S BASCOM AVE, STE 110, CAMPBELL, CA 95008-5541
(408) 559-3403
(408) 559-3158
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
190444
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
190444
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN190444
—
CA
Enumeration date
04/21/2006
Last updated
05/06/2016
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