Individual
NATASHA MARIE GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
508 N TERRACE ST, DELAVAN, WI 53115-1006
(262) 745-1782
Mailing address
508 N TERRACE ST, DELAVAN, WI 53115-1924
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320434-31
WI
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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