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Individual

ETNA JUANA GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6022 VARIEL AVE, WOODLAND HILLS, CA 91367-3719
(818) 996-1051
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 996-1051

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95-2633765
MEDICAL
CO
Enumeration date
06/28/2024
Last updated
02/11/2026
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