Individual
TINA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4617 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-2937
(719) 266-6431
(719) 265-1752
Mailing address
4617 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-2937
(719) 266-6431
(719) 265-1752
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT0015852
CO
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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