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: |