Individual
JACOB GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
38686 FLORENCE AVE, BEAUMONT, CA 92223
(626) 221-4534
Mailing address
38686 FLORENCE AVE, BEAUMONT, CA 92223
(626) 221-4534
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
293433
CA
Other
Enumeration date
03/21/2016
Last updated
03/21/2016
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