Provider Demographics
NPI:1578778650
Name:GARCIA-CUELLAR, ESTHER S (LAC)
Entity Type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:S
Last Name:GARCIA-CUELLAR
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6407 FAUNTLEROY WAY SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1820
Mailing Address - Country:US
Mailing Address - Phone:206-841-4574
Mailing Address - Fax:206-935-3793
Practice Address - Street 1:6407 FAUNTLEROY WAY SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1820
Practice Address - Country:US
Practice Address - Phone:206-841-4574
Practice Address - Fax:206-935-3793
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2150171100000X
WA14723174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered174400000XOther Service ProvidersSpecialist