Individual
JAQUELINE TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10650 WEST ROAD 84 SUITE 206, DAVIE, FL 33324
(954) 634-3636
Mailing address
271 NE 57TH ST, FORT LAUDERDALE, FL 33334-1727
(305) 834-1879
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012076000
—
FL
Enumeration date
08/12/2014
Last updated
08/12/2014
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