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Individual

MISS ANDREA TORRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPT

Contact information

Practice address
2755 ARROW HWY SPC 74, LA VERNE, CA 91750-5653
(909) 927-8700
(909) 596-3018
Mailing address
2755 ARROW HWY SPC 74, LA VERNE, CA 91750-5653
(909) 927-8700
(909) 596-3018

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary
00036160
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003616
LAB
CA
Enumeration date
06/01/2018
Last updated
06/01/2018
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