| NPI | 1063673507 |
|---|---|
| Former Name | JESSICA ANN GARCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 62711) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |