Individual
TAKARA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 W JEFFERSON ST, QUINCY, FL 32351-2135
(850) 591-3112
Mailing address
PO BOX 895, MIDWAY, FL 32343-0895
(850) 591-3112
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5256178
FL
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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