Provider Demographics
NPI:1215779079
Name:GARZA, ARANESSA I (LMT, MLD-C)
Entity type:Individual
Prefix:
First Name:ARANESSA
Middle Name:I
Last Name:GARZA
Suffix:
Gender:F
Credentials:LMT, MLD-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1056
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94561-1056
Mailing Address - Country:US
Mailing Address - Phone:925-250-0881
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1056
Practice Address - Street 2:
Practice Address - City:OAKLEY
Practice Address - State:CA
Practice Address - Zip Code:94561-1056
Practice Address - Country:US
Practice Address - Phone:925-250-0881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist