Most Relevant Information
Provider Data
| NPI Number: | 1003501263 |
| Provider Name: | CHELSIE RENEE TORRES SUDPT |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | CO61406011 |
Most Important Dates
| Enumeration Date: | 04/05/2023 |
| Last Updated: | 10/18/2023 |
Provider Practice Location
6700 MARTIN WAY E STE 117
OLYMPIA
WA
985165586
Practice Location Phone/Fax
| Phone: | 3602616930 |
| Fax: |
Provider Mailing Location
6700 MARTIN WAY E STE 117
OLYMPIA
WA
985165586
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |