Individual
MARY MOENICH GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
111 S GRANT AVE STE 350, COLUMBUS, OH 43215-4701
(614) 566-9160
(614) 566-8392
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-07987
NC
363A00000X
Physician Assistant
Primary
50.004508RX
OH
Other
Enumeration date
01/05/2016
Last updated
06/18/2019
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