Individual
MRS. LUZ MARIELLA TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD,IBCLC,RLC
Contact information
Practice address
18883 GRAND VIEW CT, MONTGOMERY, TX 77356-4293
(936) 647-2703
Mailing address
18883 GRAND VIEW CT, MONTGOMERY, TX 77356-4293
(936) 647-2703
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
862126
TX
Other
Enumeration date
12/23/2011
Last updated
10/24/2012
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