Individual
MR. IVAN ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
810 FAIRGROVE CHURCH ROAD SE, HICKORY, NC 28602
(828) 485-2300
(828) 485-2304
Mailing address
810 FAIRGROVE CHURCH ROAD SE, HICKORY, NC 28602
(828) 485-2300
(828) 485-2304
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
NC
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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