Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | MA00023991 | WA |
NPI | 1275725855 |
---|---|
Provider Name | Melinda L Garcia |
First Address | Kirkland, WA 98033-6104 |
Second Address | Kirkland, WA 98033-6104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2007 |
Last Update Date | 18/07/2016 |