| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANGELICA TORRES LUNA | 1902423148 | 2020-07-04 |
Angelica Torres Luna is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1902423148. Registration indicates Angelica Torres Luna is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, )
| Entity Type | Individual |
| Provider Name | Miss Angelica Torres Luna |
| Practice Office Address | 875 PERIMETER DR MOSCOW, ID US |
| Practice Office Telephone | 2088850349 |
| Mailing Address | 506 N MIDDLETON RD NAMPA, ID 836517510 US |
| Business Telephone | 2082496143 |
| Code | Practice | License No State |
|---|---|---|
| 2255A2300X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist: Athletic Trainer All Other Specialties & Provider Types Specialist/Technologist Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist |
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