Individual
MR. JUAN JOSE GARCIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
1650 17TH ST. NW, WASHINGTON, DC 20500
(202) 814-7289
Mailing address
10719 OLD COLCHESTER RD, LORTON, VA 22079-3612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
0110-008889
VA
363AS0400X
Surgical Physician Assistant
52298
CA
Other
Enumeration date
02/26/2012
Last updated
12/14/2022
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