Individual
MRS. CARLA LYN DE LA GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1722 PINE ST STE 204, MONTGOMERY, AL 36106-1158
(334) 293-6825
(334) 293-6826
Mailing address
1722 PINE ST STE 204, MONTGOMERY, AL 36106-1158
(334) 293-6825
(334) 293-6826
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-159638
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361137801
—
TX
Enumeration date
06/11/2013
Last updated
07/21/2022
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