Individual
LEA ROQUE GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
318 CAMELLIA TRCE, MARYVILLE, TN 37801-3560
(865) 684-0224
(865) 981-2881
Mailing address
318 CAMELLIA TRCE, MARYVILLE, TN 37801-3560
(865) 684-0224
(865) 981-2881
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0000005743
TN
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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