Provider Demographics
NPI:1770159329
Name:GARCIA LOPEZ, ALMA STEPHANIE
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:STEPHANIE
Last Name:GARCIA LOPEZ
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 1:23020 27TH AVE SE APT 14-101
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-7295
Mailing Address - Country:US
Mailing Address - Phone:425-269-9188
Mailing Address - Fax:
Practice Address - Street 1:23020 27TH AVE SE APT 14-101
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-7295
Practice Address - Country:US
Practice Address - Phone:425-269-9188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC18338171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter