Individual
MR. FREDY R TORRES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.T.
Contact information
Practice address
8701 W VAN BUREN ST APT 1810, TOLLESON, AZ 85353-3129
(623) 907-1133
Mailing address
8701 W VAN BUREN ST APT 1810, TOLLESON, AZ 85353-3129
(623) 907-1133
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B14831498
AZ
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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