Provider Demographics
NPI:1053086009
Name:GARCIA, LINDA
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:GARCIA
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 1:907 HARRINGTON AVE NE APT 8
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-3076
Mailing Address - Country:US
Mailing Address - Phone:206-519-0653
Mailing Address - Fax:
Practice Address - Street 1:907 HARRINGTON AVE NE APT 8
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-3076
Practice Address - Country:US
Practice Address - Phone:206-519-0653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC6583171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter