Individual
JESSICA LATORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
431 S BATAVIA ST STE 203, ORANGE, CA 92868-3939
(949) 422-5344
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 639-0662
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95008908
CA
Other
Enumeration date
07/11/2019
Last updated
04/29/2021
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