Individual
CRYSTAL JUNE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7018
Mailing address
10924 UPLAND TERRACE DR, LEBANON, IL 62254-2335
(760) 264-5165
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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