Individual
JUAN GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N WHITE SANDS BLVD STE 122, ALAMOGORDO, NM 88310-6774
(866) 273-2451
Mailing address
3007 HOPI TRL, ALAMOGORDO, NM 88310-4050
(575) 442-1652
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/23/2018
Last updated
06/23/2018
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