Individual
MS. CHARLOTTE TABUYO TORRICER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
891 EL PASO DR, LOS ANGELES, CA 90042-3116
(701) 339-0866
Mailing address
891 EL PASO DR, LOS ANGELES, CA 90042-3116
(701) 339-0866
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
95110488
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TOR-83-4301
DRIVERS LICENSE
ND
Enumeration date
06/19/2020
Last updated
07/21/2022
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