Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 19-1816 | AZ |
NPI | 1124669296 |
---|---|
Provider Name | Dr. Roxanna Marie Garcia |
First Address | Tempe, AZ 85281-4801 |
Second Address | Tempe, AZ 85281-4801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2019 |
Last Update Date | 30/09/2019 |