Individual
EMILY LYNN DE LA GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3100 W MCCORMICK ST, 119 MERLINI HALL, WICHITA, KS 67213-2008
(210) 279-2544
Mailing address
3100 W MCCORMICK ST, 119 MERLINI HALL, WICHITA, KS 67213-2008
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
24-01158
KS
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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