Provider Demographics
NPI:1558779066
Name:GARCIA, BETTE LINDA
Entity Type:Individual
Prefix:
First Name:BETTE
Middle Name:LINDA
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 1:9888 CAMINITO MARLOCK
Mailing Address - Street 2:APARTMENT #30
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-2038
Mailing Address - Country:US
Mailing Address - Phone:858-722-9333
Mailing Address - Fax:
Practice Address - Street 1:9888 CAMINITO MARLOCK
Practice Address - Street 2:APARTMENT #30
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-2038
Practice Address - Country:US
Practice Address - Phone:858-722-9333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program