Provider Demographics
NPI:1508406471
Name:TORRES, GRISELDA JENNIFER
Entity Type:Individual
Prefix:
First Name:GRISELDA
Middle Name:JENNIFER
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 EASTWIND DR
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-7551
Mailing Address - Country:US
Mailing Address - Phone:530-870-2758
Mailing Address - Fax:
Practice Address - Street 1:1313 EASTWIND DR
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-7551
Practice Address - Country:US
Practice Address - Phone:530-870-2758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-08
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician