Individual
ETNA JUANA GARCIA
Active
Individual
ETNA JUANA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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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