Individual
LETICIA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3340 KEMPER ST STE 105, SAN DIEGO, CA 92110-4907
(619) 523-8121
(619) 523-8742
Mailing address
3340 KEMPER ST STE 105, SAN DIEGO, CA 92110-4907
(619) 523-8121
(619) 523-8742
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37378100
—
CA
Enumeration date
05/14/2015
Last updated
05/14/2015
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