Individual
MARIAM GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1514 DOCTORS DR, BOSSIER CITY, LA 71111
(318) 549-2500
Mailing address
1514 DOCTORS DR, BOSSIER CITY, LA 71111-3379
(318) 549-2500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0055996
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0012410
DE
Other
Enumeration date
07/06/2023
Last updated
12/30/2024
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