Individual
LESILE MARIE GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 BRONTE AVE, WATSONVILLE, CA 95076-3511
(831) 406-0501
Mailing address
4 HOLLY DR UNIT E, FREEDOM, CA 95019-2654
(831) 406-0501
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
CA
Enumeration date
02/26/2020
Last updated
02/26/2020
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