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Individual

AMANDA DARLENE GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
139 FORD ST, UKIAH, CA 95482-4011
(707) 462-1934
(707) 468-9860
Mailing address
107 S PINE ST, UKIAH, CA 95482-4820
(707) 462-1934
(707) 468-9860

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/19/2018
Last updated
09/19/2018
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