Individual
MARY TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3670 PARKER BLVD, PUEBLO, CO 81008-2207
(303) 614-1400
Mailing address
3670 PARKER BLVD, PUEBLO, CO 81008-2207
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
13359
CO
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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