Provider Demographics
NPI:1740870963
Name:GARCIA, VERONICA CRISTAL (RN)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:CRISTAL
Last Name:GARCIA
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 1:556 DENIER CT
Mailing Address - Street 2:
Mailing Address - City:GALT
Mailing Address - State:CA
Mailing Address - Zip Code:95632-3169
Mailing Address - Country:US
Mailing Address - Phone:916-662-4190
Mailing Address - Fax:
Practice Address - Street 1:556 DENIER CT
Practice Address - Street 2:
Practice Address - City:GALT
Practice Address - State:CA
Practice Address - Zip Code:95632-3169
Practice Address - Country:US
Practice Address - Phone:916-662-4190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95197005163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice