Provider Demographics
NPI:1275070492
Name:VLAD, IULIA (LAC, NTP)
Entity Type:Individual
Prefix:
First Name:IULIA
Middle Name:
Last Name:VLAD
Suffix:
Gender:F
Credentials:LAC, NTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8602 NE 126TH PL
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-2677
Mailing Address - Country:US
Mailing Address - Phone:206-240-3014
Mailing Address - Fax:
Practice Address - Street 1:12835 NE BEL RED RD STE 223
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2625
Practice Address - Country:US
Practice Address - Phone:206-240-3014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60671328171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist