Provider Demographics
NPI:1033923016
Name:GARCIA ESTRADA, NELSY THALIA
Entity type:Individual
Prefix:
First Name:NELSY
Middle Name:THALIA
Last Name:GARCIA ESTRADA
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 1:2130 S ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1005
Mailing Address - Country:US
Mailing Address - Phone:425-524-1068
Mailing Address - Fax:
Practice Address - Street 1:2130 S ADAMS ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1005
Practice Address - Country:US
Practice Address - Phone:425-524-1068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-01
Last Update Date:2025-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter