Provider Demographics
NPI:1245416304
Name:GARRICK, SARAH N
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:N
Last Name:GARRICK
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 1:550 W VISTA WAY
Mailing Address - Street 2:STE 206
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-5732
Mailing Address - Country:US
Mailing Address - Phone:760-724-9112
Mailing Address - Fax:760-724-9261
Practice Address - Street 1:550 W VISTA WAY
Practice Address - Street 2:STE 206
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-5732
Practice Address - Country:US
Practice Address - Phone:760-724-9112
Practice Address - Fax:760-724-9261
Is Sole Proprietor?:No
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program