Individual
MS. LISA RENEE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
1207 GOLF COURSE RD SE STE C, RIO RANCHO, NM 87124-5213
(505) 994-4100
Mailing address
1207 GOLF COURSE RD SE STE C, RIO RANCHO, NM 87124-5213
(505) 994-4100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X07693
NM
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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