Individual
MARIBEL YADIRA GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAC
Contact information
Practice address
5501 NE 109TH CT STE A1, VANCOUVER, WA 98662-6173
(360) 566-4432
Mailing address
322 E 27TH ST, VANCOUVER, WA 98663-3006
(360) 936-7591
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
60711130
WA
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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