Individual
DORIS AWILDA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
105 CROWN ST, MERIDEN, CT 06450-5715
(475) 273-2960
Mailing address
105 CROWN ST, MERIDEN, CT 06450-5715
(475) 273-2960
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10912
CT
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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