Individual
MRS. ITSIA VANESSA TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
BO MOROVIS SUR CARR 6622, MOROVIS, PR 00687-0214
(787) 315-6672
Mailing address
PO BOX 214, MOROVIS, PR 00687-0214
(787) 315-6672
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTL855
PR
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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