Individual
KATIA PRISCILLA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12822 SUNGROVE ST, GARDEN GROVE, CA 92840-6543
(714) 496-2599
Mailing address
12822 SUNGROVE ST, GARDEN GROVE, CA 92840-6543
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y8525626
N/A
CA
Enumeration date
10/31/2021
Last updated
10/31/2021
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