Individual
MRS. CLARINDA J GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 B VETERANS BLVD, PUEBLO OF ACOMA, NM 87034
(505) 552-5300
(505) 552-5490
Mailing address
PO BOX 130, SAN FIDEL, NM 87049-0130
(505) 552-5300
(505) 552-5490
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02418
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H3451
—
NM
01
—
PA02418
LICENSE NUMBER
TX
Enumeration date
05/24/2006
Last updated
03/13/2018
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