Individual
LEGINA MAE GARRETT
Active
Individual
LEGINA MAE GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
22307
CA
364SA2100X
Acute Care Clinical Nurse Specialist
3849
CA
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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