Healthcare Provider Details

I. General information

NPI: 1134039613
Provider Name (Legal Business Name): MARIE JUDITH GARCIA TIBURCIO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 SPRING ST STE B
PLACERVILLE CA
95667-4543
US

IV. Provider business mailing address

935 SPRING ST STE B
PLACERVILLE CA
95667-4543
US

V. Phone/Fax

Practice location:
  • Phone: 530-621-6213
  • Fax:
Mailing address:
  • Phone: 530-621-6213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number758670
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: