Individual
MR. DIEGO GARCIA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143973
CSFA CERT#
—
Enumeration date
11/20/2014
Last updated
03/25/2015
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