Individual
LUIS BALTAZAR ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3663 E SUNSET RD STE 504, LAS VEGAS, NV 89120-3299
(725) 238-6990
Mailing address
848 N RAINBOW BLVD # 451, LAS VEGAS, NV 89107-1103
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CI5181
NV
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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