Provider Demographics
NPI:1275159725
Name:GARCIA, ASHLEY (LVN)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3915 MESA DR APT 207
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-2619
Mailing Address - Country:US
Mailing Address - Phone:760-626-4957
Mailing Address - Fax:
Practice Address - Street 1:3915 MESA DR APT 207
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-2619
Practice Address - Country:US
Practice Address - Phone:760-626-4957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-21
Last Update Date:2020-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA708874164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse