Provider Demographics
NPI:1952916694
Name:GUZMAN, LAURA J (INTERPRETER)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:J
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15605 CASCADIAN WAY
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-5928
Mailing Address - Country:US
Mailing Address - Phone:425-599-8474
Mailing Address - Fax:
Practice Address - Street 1:15605 CASCADIAN WAY
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98012-5928
Practice Address - Country:US
Practice Address - Phone:425-599-8474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC56591171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0241898OtherLNI