Individual
MELISSA M GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8200 CONSTITUTION PL NE STE A, PMG KASEMAN FAMILY HEALTHCARE, ALBUQUERQUE, NM 87110-7647
(505) 841-1063
(505) 222-2695
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
98268
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z6116
—
NM
Enumeration date
10/03/2006
Last updated
03/08/2013
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