Individual
MRS. MIRANDA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60138A FLOYD AVE, JOINT BASE LEWIS MCCHORD, WA 98433-1591
(917) 574-7759
Mailing address
60138A FLOYD AVE, JOINT BASE LEWIS MCCHORD, WA 98433-1591
(917) 574-7759
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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