Provider Demographics
NPI:1780975714
Name:DEL TORO, ELSA (LAC)
Entity type:Individual
Prefix:
First Name:ELSA
Middle Name:
Last Name:DEL TORO
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 1:6030 206TH ST NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-8298
Mailing Address - Country:US
Mailing Address - Phone:425-876-0073
Mailing Address - Fax:
Practice Address - Street 1:3210 SMOKEY POINT DR NE
Practice Address - Street 2:SUITE 100
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-8298
Practice Address - Country:US
Practice Address - Phone:425-876-0073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-25
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60197009171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist