Provider Demographics
NPI:1568788693
Name:FLORES-TORRES, ALICE ROXANNE (MS, RD)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:ROXANNE
Last Name:FLORES-TORRES
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5539 CRANE CT
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-5223
Mailing Address - Country:US
Mailing Address - Phone:661-722-1864
Mailing Address - Fax:
Practice Address - Street 1:5539 CRANE CT
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-5223
Practice Address - Country:US
Practice Address - Phone:661-722-1864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA960658133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered