Individual
ELIA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1367 COOLIDGE PL, WOODLAND, CA 95776-6734
(530) 312-6008
Mailing address
1367 COOLIDGE PL, WOODLAND, CA 95776-6734
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
R1197100315
CA
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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