Most Relevant Information
Provider Data
NPI Number: | 1003538653 |
Provider Name: | BREANNA TORRES |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 09/12/2022 |
Last Updated: | 09/12/2022 |
Provider Practice Location
2000 W BRIGGSMORE AVE
MODESTO
CA
953503839
Practice Location Phone/Fax
Phone: | 2095261476 |
Fax: | 2095260908 |
Provider Mailing Location
2000 W BRIGGSMORE AVE
MODESTO
CA
953503839
Provider Mailing Phone/Fax
Phone: | 2095261476 |
Fax: | 2095260908 |