Healthcare Provider Details

I. General information

NPI: 1639083264
Provider Name (Legal Business Name): FERNANDA GARCIA ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: FERNANDA KOMPANIYETS ND

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15912 252ND AVE SE
ISSAQUAH WA
98027-8248
US

IV. Provider business mailing address

15912 252ND AVE SE
ISSAQUAH WA
98027-8248
US

V. Phone/Fax

Practice location:
  • Phone: 469-323-9410
  • Fax:
Mailing address:
  • Phone: 469-323-9410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND1636
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: