Provider Demographics
NPI:1831537315
Name:TODORAN, IONELA (LAC)
Entity type:Individual
Prefix:MRS
First Name:IONELA
Middle Name:
Last Name:TODORAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3517 31ST AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-2743
Mailing Address - Country:US
Mailing Address - Phone:206-310-4690
Mailing Address - Fax:
Practice Address - Street 1:1417 NW 54TH ST STE 437
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-3561
Practice Address - Country:US
Practice Address - Phone:206-331-0951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-06
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC 60360934171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist