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Jared Garcia

Technician in Albuquerque, NM. Individual provider (NPI-1).

NPI number1124863956
StatusActive
Last updated in NPPESJun 28, 2024

Details

NPI
1124863956
Entity type
Individual (NPI-1)
Name
Jared Garcia
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 25, 2024
Certification date
Jun 28, 2024
Last updated
Jun 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374700000X Technician––Yes

Practice location

400 Gold Ave Sw
Albuquerque, NM 87102-3283

Phone 505-255-5835

Mailing address

400 Gold Ave Sw
Albuquerque, NM 87102-3283

Phone 505-255-5835

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