JESUS ANDRES DIAZ LA TORRE

GREENWICH, CT
NPI1316789084
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  13259)
Enumeration Date2024-06-12
Last Update Date2024-06-12
Business Address
JESUS ANDRES DIAZ LA TORRE APRN
49 LAKE AVE STE 206
GREENWICH, CT 06830-4519
Phone number: 203-900-1090
Mailing Address
JESUS ANDRES DIAZ LA TORRE APRN
49 LAKE AVE STE 206
GREENWICH, CT 06830-4519
Phone number: 203-900-1090