NPI 1073748521

Lea Roque Garcia, MT

Practitioner Contractor Maryville, TN

Practice location

Address: 318 Camellia Trce, Maryville, TN 37801-3560
Phone: (865) 684-0224
Fax: (865) 981-2881

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 0000005743 (TN)

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Registry record

NPI: 1073748521
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 May 2009
Record last updated: 27 May 2009

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.