Provider Demographics
NPI:1215113824
Name:STEPHAS, ALMA
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:
Last Name:STEPHAS
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:PO BOX 246
Mailing Address - Street 2:
Mailing Address - City:ZILLAH
Mailing Address - State:WA
Mailing Address - Zip Code:98953-0246
Mailing Address - Country:US
Mailing Address - Phone:509-985-8230
Mailing Address - Fax:
Practice Address - Street 1:514 W 4TH AVE
Practice Address - Street 2:
Practice Address - City:TOPPENISH
Practice Address - State:WA
Practice Address - Zip Code:98953
Practice Address - Country:US
Practice Address - Phone:509-985-8230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0182570OtherLABOR AND INDUSTRY