Healthcare Provider Details
I. General information
NPI: 1821837584
Provider Name (Legal Business Name): BREE GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/22/2024
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8 LYMAN ST STE 200
WESTBOROUGH MA
01581-1487
US
IV. Provider business mailing address
1015 MONTROSE AVE
GAINESVILLE TX
76240-5948
US
V. Phone/Fax
- Phone: 617-431-6140
- Fax: 207-203-9586
- Phone: 254-433-2497
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171400000X |
| Taxonomy | Health & Wellness Coach |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: