Provider Demographics
NPI:1619778065
Name:GARCIA MOYA, JOSELIN ANGELICA
Entity type:Individual
Prefix:
First Name:JOSELIN
Middle Name:ANGELICA
Last Name:GARCIA MOYA
Suffix:
Gender:F
Credentials:
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 321
Mailing Address - Street 2:
Mailing Address - City:ANTHONY
Mailing Address - State:NM
Mailing Address - Zip Code:88021-0321
Mailing Address - Country:US
Mailing Address - Phone:915-243-9562
Mailing Address - Fax:
Practice Address - Street 1:1023 GRANT ST
Practice Address - Street 2:
Practice Address - City:ANTHONY
Practice Address - State:NM
Practice Address - Zip Code:88021-7353
Practice Address - Country:US
Practice Address - Phone:915-243-9562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
021644171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter