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Individual
MRS. JENNIFER LYNN TORRES
Active
Individual
MRS. JENNIFER LYNN TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
13547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13547
CAMTA
CA
Enumeration date
05/08/2012
Last updated
05/08/2012
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