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Individual

MARC JEROME TORRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3204
(703) 689-9000
Mailing address
607 HERNDON PKWY STE 101, HERNDON, VA 20170-5477

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1041352
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
0024184649
VA

Other

Enumeration date
06/28/2021
Last updated
05/01/2025
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