Individual
DIANA JAZMIN GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2911 CHESTNUT AVE, FORT WORTH, TX 76106-5555
(817) 495-6518
Mailing address
2911 CHESTNUT AVE, FORT WORTH, TX 76106-5555
(817) 495-6518
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
962984
TX
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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