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BLANCA P MEJIA DE ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
11621 W RIO VISTA LN, AVONDALE, AZ 85323-7618
(623) 455-0992
Mailing address
11621 W RIO VISTA LN, AVONDALE, AZ 85323-7618
(623) 455-0992

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2120
PR

Other

Enumeration date
10/25/2024
Last updated
10/25/2024
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