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Individual

CHRISTINA GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
21 SOUTH RD, FARMINGTON, CT 06032-2482
(860) 679-4600
(860) 679-1248
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
003102
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004251427
CT
05
1134193386
CT
Enumeration date
02/15/2006
Last updated
07/11/2022
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