Individual
EDGARDO IVAN DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.,B.A.
Contact information
Practice address
918 E MEAD AVE, YAKIMA, WA 98903-3720
(509) 453-1347
(509) 453-2209
Mailing address
3003 HATHAWAY ST, YAKIMA, WA 98902-1096
(509) 594-1520
(509) 453-2209
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WA
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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