Provider Demographics
NPI:1902109697
Name:GARZA, DANIEL (RCMT, MH)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:GARZA
Suffix:
Gender:M
Credentials:RCMT, MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 39TH AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-2502
Mailing Address - Country:US
Mailing Address - Phone:970-353-4604
Mailing Address - Fax:
Practice Address - Street 1:1023 39TH AVE
Practice Address - Street 2:SUITE B
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-2502
Practice Address - Country:US
Practice Address - Phone:970-353-4604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-17
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4260175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath