Garland, Tina Marie

Garland, Tina Marie is an individual health care provider with primary practice located at 904 E Fairview Ln , Espanola NM 87532-2822. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Garland, Tina Marie can be contacted via phone (505) 747-1991.

Contact Information

Primary practice address
904 E Fairview Ln Espanola NM 87532-2822
Fax: (505) 753-6462
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 019629325 New Mexico

Profile Details

NPI number 1689909590
LBN Legal business name Garland, Tina Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2009
Last updated Oct 9th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689909590 NPPES
New Mexico Other 17 17

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