Individual
GILBERT R GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5854 BUCKEYE LN, APT # 9, MENTOR ON THE LAKE, OH 44060-2841
(440) 209-1380
(440) 209-1380
Mailing address
5854 BUCKEYE LN, APT # 9, MENTOR ON THE LAKE, OH 44060-2841
(440) 209-1380
(440) 209-1380
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-148723-M-IV
OH
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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