NPI 1073176566
Ricardo Maravilla-Garcia
Practice location
- Address
- 2215 Blue Gum Ave, Modesto, CA 95358-1052
- Phone
- (209) 525-5401
- Mailing address
- 522 E Granger Ave, Modesto, CA 95350-4545
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1073176566
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Apr 2019
- Record last updated
- 23 Aug 2023
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.