Individual
MR. JOSE LUIS GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2412 E ROSARIO MISSION DR, CASA GRANDE, AZ 85194-9157
(520) 709-1571
Mailing address
2412 E ROSARIO MISSION DR, CASA GRANDE, AZ 85194-9157
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
2670359
AZ
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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