Provider Demographics
NPI:1710659065
Name:TORRENS, MICHELLE TEDIANA PAIGE (ND)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:TEDIANA PAIGE
Last Name:TORRENS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 SAN LEANDRO ST APT 13
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-4453
Mailing Address - Country:US
Mailing Address - Phone:714-331-5798
Mailing Address - Fax:
Practice Address - Street 1:4401 SAN LEANDRO ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-4400
Practice Address - Country:US
Practice Address - Phone:341-222-1341
Practice Address - Fax:888-261-9582
Is Sole Proprietor?:No
Enumeration Date:2021-10-04
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4415175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath