Most Relevant Information
Provider Data
| NPI Number: | 1003638305 |
| Provider Name: | AMANDA ELLEN GARCIA |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 124200 |
Most Important Dates
| Enumeration Date: | 10/28/2024 |
| Last Updated: | 10/28/2024 |
Provider Practice Location
PO BOX 455
HOLTVILLE
CA
922500455
Practice Location Phone/Fax
| Phone: | 7605544283 |
| Fax: |
Provider Mailing Location
PO BOX 455
HOLTVILLE
CA
922500455
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |