Individual
JOSE LUIS DE LA TORRE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1875 S GENEVA RD, OREM, UT 84058-2217
(801) 437-0490
Mailing address
1875 S GENEVA RD, OREM, UT 84058-2217
(801) 437-0490
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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