Provider Demographics
NPI:1457952111
Name:HARPER, GEMA MARCELA
Entity Type:Individual
Prefix:
First Name:GEMA
Middle Name:MARCELA
Last Name:HARPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GEMA
Other - Middle Name:MARCELA
Other - Last Name:VIDRIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4811 HOLLY WAY
Mailing Address - Street 2:
Mailing Address - City:WEST RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99353-5716
Mailing Address - Country:US
Mailing Address - Phone:509-374-6241
Mailing Address - Fax:
Practice Address - Street 1:4811 HOLLY WAY
Practice Address - Street 2:
Practice Address - City:WEST RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99353-5716
Practice Address - Country:US
Practice Address - Phone:509-374-6241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-07
Last Update Date:2020-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA604015495171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter