Individual
MRS. OLIVIA JACQUELINE ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
9985 SIERRA AVE, FONTANA, CA 92335-6720
(909) 809-3287
Mailing address
9985 SIERRA AVE, FONTANA, CA 92335-6720
(909) 809-3287
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
17807
CA
Other
Enumeration date
03/25/2008
Last updated
10/23/2021
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