Individual
REYNA R GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12000 STONE LAKE RD., DULCE, NM 87528-0392
(505) 759-3291
Mailing address
12000 STONE LAKE RD., PO BOX 187, DULCE, NM 87528-0392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R52967
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K3526
—
NM
01
—
HSZ196
MEDICARE PART B
NM
Enumeration date
08/01/2006
Last updated
06/13/2008
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