Most Relevant Information
Provider Data
| NPI Number: | 1003558735 |
| Provider Name: | MADELYN GARCIA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/12/2022 |
| Last Updated: | 04/12/2022 |
Provider Practice Location
435 H ST
CHULA VISTA
CA
919104307
Practice Location Phone/Fax
| Phone: | 6196917587 |
| Fax: |
Provider Mailing Location
435 H ST
CHULA VISTA
CA
919104307
Provider Mailing Phone/Fax
| Phone: | 6196917587 |
| Fax: |