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Individual

IMELDA DACLAG TORRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
494 BLOSSOM WAY, CHERRYLAND, CA 94541-1948
(510) 582-7676
(510) 582-0467
Mailing address
2222 SANDPIPER CT, SAN LEANDRO, CA 94579-2753
(510) 329-6162

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
641959
CA

Other

Enumeration date
02/12/2025
Last updated
02/12/2025
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