Individual
MRS. EDWINA CHRISTINE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
(505) 842-8171
(505) 246-0684
Mailing address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
(505) 842-8171
(505) 246-0684
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2004-0057
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10171088
—
NM
05
—
19321325
—
NM
Enumeration date
08/09/2005
Last updated
09/01/2021
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