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Individual

DEANA JANENE GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3544 30TH ST, SAN DIEGO, CA 92104-4120
(619) 515-2424
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA21042
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FHC71082F
CA
Enumeration date
09/04/2010
Last updated
08/25/2023
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