Individual
MARIBEL TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E 13TH ST, MERCED, CA 95341-6211
(209) 381-6879
(209) 725-3775
Mailing address
PO BOX 2084, MERCED, CA 95344-0084
(209) 381-7879
(209) 725-3775
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013030808
MEDICAL
CA
05
—
1013030808
—
CA
Enumeration date
02/22/2016
Last updated
07/30/2020
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