Individual
BREANNA NICOLE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2234 CRESTWOOD RIDGE DR, DURHAM, NC 27704-6144
(562) 631-7161
Mailing address
2234 CRESTWOOD RIDGE DR, DURHAM, NC 27704-6144
(562) 631-7161
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
328959
NC
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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