Provider Demographics
NPI:1790977098
Name:TORRES, TAMARA KATAYAMA (ND)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:KATAYAMA
Last Name:TORRES
Suffix:
Gender:F
Credentials:ND
Other - Prefix:MS
Other - First Name:TAMARA
Other - Middle Name:MARI
Other - Last Name:KATAYAMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 E INDIAN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-4810
Mailing Address - Country:US
Mailing Address - Phone:602-241-9105
Mailing Address - Fax:602-241-9104
Practice Address - Street 1:1000 E INDIAN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-4810
Practice Address - Country:US
Practice Address - Phone:602-241-9105
Practice Address - Fax:602-241-9104
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ07-985175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath