Individual
MR. MICHAEL JAY GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
7108 FAIRBANKS DR N.E., RIO RANCHO, NM 87144-0000
(505) 771-0110
Mailing address
7108 FAIRBANKS DR NE, RIO RANCHO, NM 87144-5397
(505) 771-0110
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L19946
NM
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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