Individual
JORGE ENRIQUE TORRES CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 N BEST AVE APT 115, BRAWLEY, CA 92227-9410
(442) 230-1240
Mailing address
235 N BEST AVE APT 115, BRAWLEY, CA 92227-9410
(442) 230-1240
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
705372
CA
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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