Individual
JOSE VIDAL TORRES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1457 EASTERN AVE, GRAFTON, ND 58237-1935
(701) 520-7120
Mailing address
1457 EASTERN AVE, GRAFTON, ND 58237-1935
(701) 520-7120
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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