Individual
MRS. MARIBEL TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1056 S MAIN ST, POCATELLO, ID 83204-3553
(208) 851-3454
Mailing address
1554 SHASTA ST, POCATELLO, ID 83201-2249
(208) 851-3454
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
55074
ID
163WP2201X
Ambulatory Care Registered Nurse
55074
ID
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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