Individual
ANGEL GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1904 RICHLAND AVE BLDG A, CERES, CA 95307-4562
(209) 300-8800
Mailing address
3313 SISKIYOU WAY, MODESTO, CA 95350-0377
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
614192
CA
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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