Provider Demographics
NPI:1710659065
Name:TORRENS, MICHELLE TEDIANA PAIGE (ND)
Entity type:Individual
Prefix:DR
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:
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Other - Credentials:
Mailing Address - Street 1:3200 MIDDLEFIELD RD STE D
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-3000
Mailing Address - Country:US
Mailing Address - Phone:650-485-2758
Mailing Address - Fax:650-397-5360
Practice Address - Street 1:3200 MIDDLEFIELD RD STE D
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-3000
Practice Address - Country:US
Practice Address - Phone:650-485-2758
Practice Address - Fax:650-397-5360
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-04
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4415175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No175F00000XOther Service ProvidersNaturopath