Individual
MRS. MIA SOPHIA DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N NORMA ST STE 125, RIDGECREST, CA 93555-2577
(760) 499-7406
Mailing address
1400 N NORMA ST STE 125, RIDGECREST, CA 93555-2577
(760) 499-7406
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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