Individual
ELIZABETH GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
16173 VALLEYVALE DR, FONTANA, CA 92337-0823
(909) 561-9127
Mailing address
16173 VALLEYVALE DR, FONTANA, CA 92337-0823
(909) 561-9127
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
243466
CA
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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