Individual
ILEANA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 SHILOH RD, SUITE C-120, TYLER, TX 75703-1431
(903) 939-2800
Mailing address
PO BOX 296, BULLARD, TX 75757-0296
(903) 376-6651
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
36173
TX
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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