Individual
WANDA PAMELA GARCIA MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2851 S AVENUE B BLDG 20, YUMA, AZ 85364-7726
(928) 336-2434
(928) 336-2435
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 344-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN212958
AZ
363L00000X
Nurse Practitioner
Primary
292954
AZ
Other
Enumeration date
05/17/2023
Last updated
11/20/2024
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