Individual
JOSE TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4224 STONEBRIDGE DR SW APT 2, WYOMING, MI 49519-5229
(616) 325-3675
Mailing address
4224 STONEBRIDGE DR SW APT 2, WYOMING, MI 49519-5229
(616) 325-3675
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703101360
MI
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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