Individual
DIEGO TLALOC ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1688 SANTIAGO AVE, NAPA, CA 94558-1953
(707) 345-6578
Mailing address
1688 SANTIAGO AVE, NAPA, CA 94558-1953
(707) 345-6578
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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