Individual
TANYA TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
807 CALLE CHAMISAL, ESPANOLA, NM 87532-2976
(505) 372-4511
Mailing address
807 CALLE CHAMISAL, ESPANOLA, NM 87532-2976
(505) 372-4511
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1335
NM
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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