Selena Alicia Garcia, DTR
Dietetic Technician, Registered in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1689280810
StatusActive
Last updated in NPPESSep 22, 2020
Details
- NPI
- 1689280810
- Entity type
- Individual (NPI-1)
- Name
- Selena Alicia Garcia
- Credential
- DTR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2020
- Certification date
- Sep 22, 2020
- Last updated
- Sep 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 136A00000X | Dietetic Technician, Registered | 86291702 | CA | Yes |
Practice location
1287 Fulton RdSanta Rosa, CA 95401-4923
Phone 877-717-0085
Mailing address
2066 Mendocino Ave Apt 59Santa Rosa, CA 95401-3653
Phone 707-934-7482
Is something wrong?
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Other Registered Dietetic Technician providers in Santa Rosa, CA
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