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NPI Code Detail

MEDICARE: MISS KARLA IVONNE GARCIA

MEDICARE:  MISS KARLA IVONNE GARCIA
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1235406299
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KARLA IVONNE GARCIA
Provider Business Mailing Address
First Line : 9401 TETON WOOD AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-7837
Country : US
Telephone Number : 702-499-0664
Fax Number :
Provider Business Practice Location Address
First Line : 9401 TETON WOOD AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-7837
Country : US
Telephone Number : 702-499-0664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2011
Last Update Date : 11/18/2011

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Directions to “ MISS KARLA IVONNE GARCIA ” Practice Location

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