Individual
OLAF RUSSELL GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2675 S ABILENE ST STE 100, AURORA, CO 80014-2363
(720) 507-4779
(833) 941-5047
Mailing address
108 TWIN CREEK CIR, DRIPPING SPRINGS, TX 78620-3021
(310) 600-2751
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP139504
TX
364SG0600X
Gerontology Clinical Nurse Specialist
AP139504
TX
Other
Enumeration date
05/08/2019
Last updated
08/20/2024
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