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Individual

JACQUELINE GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10371 HOLE AVE, RIVERSIDE, CA 92505-1747
(951) 432-6086
Mailing address
10371 HOLE AVE, RIVERSIDE, CA 92505-1747
(951) 432-6086

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
E1589329
CA

Other

Enumeration date
11/13/2015
Last updated
11/13/2015
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