Provider Demographics
NPI:1821837584
Name:GARCIA, BREE
Entity type:Individual
Prefix:
First Name:BREE
Middle Name:
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 1:1015 MONTROSE AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-5948
Mailing Address - Country:US
Mailing Address - Phone:254-433-2497
Mailing Address - Fax:
Practice Address - Street 1:8 LYMAN ST STE 200
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1487
Practice Address - Country:US
Practice Address - Phone:617-431-6140
Practice Address - Fax:207-203-9586
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty