Individual
CLAREV JADE TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8650
Mailing address
42740 TIMOTHY CIR, PALM DESERT, CA 92260-2051
(760) 412-2874
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/25/2020
Last updated
10/25/2020
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