Individual
KELLI ANN GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6515 SONORA DR, GRANBURY, TX 76049-7232
(803) 800-0701
Mailing address
6515 SONORA DR, GRANBURY, TX 76049-7232
(803) 800-0701
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
334708
TX
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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