Individual
MR. JOSE DANIEL GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12755 CA-88, LODI, CA 95240
(209) 340-5800
Mailing address
12755 CA-88, LODI, CA 95240
(209) 340-5800
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
284661
CA
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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