Provider Demographics
NPI:1942524517
Name:GARCIA, MARIA ESTELI
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ESTELI
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 1:6614 TREMONT ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1024
Mailing Address - Country:US
Mailing Address - Phone:510-420-1014
Mailing Address - Fax:
Practice Address - Street 1:733 N BROADWAY
Practice Address - Street 2:BROADWAY RESEARCH BUILDING, SUITE 137
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-1832
Practice Address - Country:US
Practice Address - Phone:410-955-3416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program