Provider Demographics
NPI:1356938799
Name:GARBARINI, CHARLA MARLEEN (RN)
Entity type:Individual
Prefix:
First Name:CHARLA
Middle Name:MARLEEN
Last Name:GARBARINI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 W 7TH ST APT 22
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90731-3041
Mailing Address - Country:US
Mailing Address - Phone:424-212-4293
Mailing Address - Fax:
Practice Address - Street 1:732 W 7TH ST APT 22
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90731-3041
Practice Address - Country:US
Practice Address - Phone:424-212-4293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA850794163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse