Most Relevant Information
Provider Data
| NPI Number: | 1003061698 |
| Provider Name: | GEORGE GARCIA MALLP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/24/2008 |
| Last Updated: | 02/21/2024 |
Provider Practice Location
1555 INDUSTRIAL DR
OWOSSO
MI
488679775
Practice Location Phone/Fax
| Phone: | 9898716695 |
| Fax: |
Provider Mailing Location
1555 INDUSTRIAL DR
OWOSSO
MI
488679775
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |