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Individual

MS. MARIA D GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPT(PT35172)

Contact information

Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1800
Mailing address
900 E. GILBERT ST, SAN BNDO, CA 92415
(909) 386-0785

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
PT 35172
CA
167G00000X
Licensed Psychiatric Technician
Primary
PT35172
CA

Other

Enumeration date
06/02/2010
Last updated
06/28/2012
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