Provider Demographics
NPI:1689316812
Name:GARCIA GARCIA, DANIA LUCIA (NUTRITIONIST)
Entity type:Individual
Prefix:
First Name:DANIA
Middle Name:LUCIA
Last Name:GARCIA GARCIA
Suffix:
Gender:F
Credentials:NUTRITIONIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 LAKESIDE BLVD APT 2E
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-7603
Mailing Address - Country:US
Mailing Address - Phone:956-667-9083
Mailing Address - Fax:
Practice Address - Street 1:825 LAKESIDE BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7616
Practice Address - Country:US
Practice Address - Phone:956-546-4898
Practice Address - Fax:956-517-1015
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-08
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist