Individual
MARIA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 KALISTE SALOOM RD STE 219, LAFAYETTE, LA 70508-4230
(337) 849-8241
Mailing address
850 KALISTE SALOOM RD STE 219, LAFAYETTE, LA 70508-4230
(337) 504-4974
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
006882376
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006882376
—
LA
Enumeration date
12/07/2017
Last updated
09/30/2021
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