Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1013354992 |
---|---|
Provider Name | Adalberto Garcia |
First Address | Las Vegas, NV 89121-5025 |
Second Address | Las Vegas, NV 89121-5025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2013 |
Last Update Date | 31/05/2013 |