Individual
DR. CHERYL INONG DE LA TORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
136 W FULTON ST, STOCKTON, CA 95204-3110
(209) 601-6174
Mailing address
136 W FULTON ST, STOCKTON, CA 95204-3110
(209) 601-6174
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14566TLG
CA
Other
Enumeration date
07/16/2013
Last updated
02/11/2022
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