Individual
MISS MARIZELA DE LA TORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 MAPLE ST STE 108, MADERA, CA 93637-6330
(559) 661-5194
Mailing address
1200 MAPLE ST STE 108, MADERA, CA 93637-6330
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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