Provider Demographics
NPI:1528766938
Name:TORRES GARCIA, KIARA
Entity type:Individual
Prefix:
First Name:KIARA
Middle Name:
Last Name:TORRES GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2829 DIVISION AVE S
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49548-1152
Mailing Address - Country:US
Mailing Address - Phone:616-248-9030
Mailing Address - Fax:
Practice Address - Street 1:2829 DIVISION AVE S
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49548-1152
Practice Address - Country:US
Practice Address - Phone:616-248-9030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program