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NPI Code Detail

MEDICARE: NANCY GARCIA

MEDICARE:   NANCY  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
11041C0700XClinical Social Worker93462CA

General Provider Information

NPI Number : 1427489095
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY GARCIA
Provider Business Mailing Address
First Line : 162 E CARSON ST
Second Line :
City : COLUSA
State : CA
Zip : 95932-2880
Country : US
Telephone Number : 530-458-0520
Fax Number : 530-458-7751
Provider Business Practice Location Address
First Line : 14677 MERRILL AVE
Second Line :
City : FONTANA
State : CA
Zip : 92335-4219
Country : US
Telephone Number : 951-643-2340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2013
Last Update Date : 12/31/2019

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Directions to “ NANCY GARCIA ” Practice Location

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