Most Relevant Information
Provider Data
| NPI Number: | 1003558974 |
| Provider Name: | LIBETTE AMANDA GARCIA RADT |
| Entity Type: | Individual |
| Taxonomy Code: | 374700000X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/11/2022 |
| Last Updated: | 04/11/2022 |
Provider Practice Location
8140 SUNLAND BLVD
SUN VALLEY
CA
913523948
Practice Location Phone/Fax
| Phone: | 8185828832 |
| Fax: | 8185828836 |
Provider Mailing Location
6301 CAHUENGA BLVD
NORTH HOLLYWOOD
CA
916063907
Provider Mailing Phone/Fax
| Phone: | 8187955517 |
| Fax: |