Individual
MARTHA GARCIA CANALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2485 N 160TH AVE, GOODYEAR, AZ 85395-7601
(786) 527-1392
Mailing address
2485 N 160TH AVE, GOODYEAR, AZ 85395-7601
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
363A00000X
Physician Assistant
Primary
10271
AZ
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/27/2016
Last updated
05/04/2024
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