Most Relevant Information
Provider Data
| NPI Number: | 1003317082 |
| Provider Name: | EDWIN LIBRADO GARCIA |
| Entity Type: | Individual |
| Taxonomy Code: | 376G00000X |
| Specialty: | Nursing Home Administrator |
| License Number: | 347003996 |
Most Important Dates
| Enumeration Date: | 02/23/2018 |
| Last Updated: | 02/23/2018 |
Provider Practice Location
7401 MAR VISTA WAY
CITRUS HEIGHTS
CA
956211724
Practice Location Phone/Fax
| Phone: | 9167264041 |
| Fax: |
Provider Mailing Location
7401 MAR VISTA WAY
CITRUS HEIGHTS
CA
956211724
Provider Mailing Phone/Fax
| Phone: | 9167264041 |
| Fax: |