Provider Demographics
NPI:1093369431
Name:GARCIA, MARIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 W BEALE AVE
Mailing Address - Street 2:
Mailing Address - City:ENOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17025-2805
Mailing Address - Country:US
Mailing Address - Phone:717-269-6275
Mailing Address - Fax:
Practice Address - Street 1:805 N FRONT ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17102-3418
Practice Address - Country:US
Practice Address - Phone:717-232-2068
Practice Address - Fax:717-234-5859
Is Sole Proprietor?:No
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education