Individual
ELAINE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 BROADWAY, PASSAIC, NJ 07055-3905
(973) 779-2865
Mailing address
32 BUSCHMANN AVE, HALEDON, NJ 07508-1602
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07953800
NJ
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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