Individual
MRS. TAMIQUA MONIQUE TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
4129 IDAHO AVE #A, KENNER, LA 70065
(337) 350-8319
Mailing address
PO BOX 640405, KENNER, LA 70064
(337) 350-8319
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
ALPP-314016
LA
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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