Provider Demographics
NPI:1952921744
Name:GARCIA, SUZANNA MICHELLE (RRT-NPS)
Entity Type:Individual
Prefix:
First Name:SUZANNA
Middle Name:MICHELLE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:RRT-NPS
Other - Prefix:
Other - First Name:SUZANNA
Other - Middle Name:MICHELLE
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9211 LONG ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9549
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9211 LONG ISLAND DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9549
Practice Address - Country:US
Practice Address - Phone:661-932-6244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32112279P3900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P3900XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredNeonatal/Pediatrics