Individual
DR. KENDAL EMANUEL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 TENNESSEE AVE # 58, CHATTANOOGA, TN 37409-1837
(423) 892-8803
Mailing address
902 LIDDELL ST, DALTON, GA 30720-8314
(762) 209-1204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47404
TN
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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