Individual
MISS SONAMY B ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12 ASHLAND ST APT 2L, WORCESTER, MA 01609-2550
(508) 425-9934
(508) 853-8593
Mailing address
12 ASHLAND ST APT 2L, WORCESTER, MA 01609-2550
(508) 425-9934
(508) 853-8593
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
232408
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1301071
GROUP NUMBER
MA
Enumeration date
10/01/2008
Last updated
10/01/2008
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