Individual
ALEXANDRIA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
Mailing address
132 COUNTRY CLUB BLVD, #203, WORCESTER, MA 01605-1573
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN88561
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1301071
GROUP MEDICAID #
MA
Enumeration date
11/17/2011
Last updated
11/17/2011
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