Individual
MRS. AMIGZARITH J TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
15326 NUBIA ST, BALDWIN PARK, CA 91706-1926
(626) 337-0776
(626) 337-0776
Mailing address
15326 NUBIA ST, BALDWIN PARK, CA 91706-1926
(626) 337-0776
(626) 337-0776
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
062428
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062428
AST/ASA(ASSOC- SURGICAL T
CO
01
—
1720041
NOTARY PUBLIC
CA
Enumeration date
03/04/2008
Last updated
03/04/2008
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