MEDICARE: JOANNE GARCIA R.D, CDE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1093849671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE GARCIA R.D, CDE

Provider Business Mailing Address
First Line	:	1092 PALMETTO WAY APT I
Second Line	:
City	:	CARPINTERIA
State	:	CA
Zip	:	93013-2860
Country	:	US
Telephone Number	:	805-681-7356
Fax Number	:	805-681-7358

Provider Business Practice Location Address
First Line	:	4141 STATE ST
Second Line	:	SUITE A-1
City	:	SANTA BARBARA
State	:	CA
Zip	:	93110-1814
Country	:	US
Telephone Number	:	805-681-7356
Fax Number	:	805-681-7358

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	07/08/2007

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