Individual
SHELLY L GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
357 E CORPORATE DR, APT 213, LEWISVILLE, TX 75067-2319
(505) 417-7868
Mailing address
357 E CORPORATE DR, APT 213, LEWISVILLE, TX 75067-2319
(505) 417-7868
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
206530
NY
164W00000X
Licensed Practical Nurse
L14017
NM
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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