Individual
AMY TORRES-MOCTEZUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14428 HADDON MIST DR, WIMAUMA, FL 33598-3708
(757) 635-1104
Mailing address
14428 HADDON MIST DR, WIMAUMA, FL 33598-3708
(757) 635-1104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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