Provider Demographics
NPI:1215059324
Name:TORRE, GRACE ANTONIA (RN)
Entity type:Individual
Prefix:MS
First Name:GRACE
Middle Name:ANTONIA
Last Name:TORRE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9219 INVERNESS RD
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-2262
Mailing Address - Country:US
Mailing Address - Phone:619-449-0886
Mailing Address - Fax:
Practice Address - Street 1:9219 INVERNESS RD
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-2262
Practice Address - Country:US
Practice Address - Phone:619-449-0886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA495882163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management