NPI 1003164351

Jesse Garcia, MSED

Practitioner Health Educator Bridgeport, CT

Practice location

Address: 130 Voight Ave, Bridgeport, CT 06606-1538
Phone: (347) 432-1164

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X Licence 1729043 (NY)

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Registry record

NPI: 1003164351
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2012
Record last updated: 16 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.