Individual
FAVIOLA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20723 WALNUT VALLEY DR, WALNUT, CA 91789-1024
(909) 594-2762
Mailing address
20723 WALNUT VALLEY DR, WALNUT, CA 91789-1024
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
10/12/2020
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