Individual
MS. ALICE CAROLINE GARCIA-IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
800 SCENIC DR BLDG 4, MODESTO, CA 95350-6131
(209) 525-6039
Mailing address
2339 S MILLS AVE, LODI, CA 95242-4785
(209) 368-5124
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
INTERN
CA
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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