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Individual

THEMBI A CONNER-GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3661 PACIFIC AVE SE, OLYMPIA, WA 98501-2122
(309) 360-8846
Mailing address
6004 W WOODBRIDGE PL, PEORIA, IL 61615-9214
(309) 360-8846

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036107805
IL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
036107805
IL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
MD.70002902
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0361078052
IL
Enumeration date
07/27/2006
Last updated
06/06/2025
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