Individual
MISS LAURA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1077 JESSE JEWELL PKWY SW, GAINESVILLE, GA 30501-6103
(770) 536-3329
(770) 536-0462
Mailing address
230 SHALLOWFORD DR, GAINESVILLE, GA 30504-4128
(404) 304-6947
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
270100103113341
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270100103113341
STATE CERTIFICATION
GA
Enumeration date
02/20/2007
Last updated
07/08/2007
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