Individual
EDITH ALICIA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10721 MAIN ST STE 200, FAIRFAX, VA 22030-6913
(703) 352-2620
Mailing address
3701 BLACKWATER RD, CLINTON, MD 20735-1215
(301) 910-7576
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110-008590
VA
Other
Enumeration date
05/27/2022
Last updated
03/14/2024
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