Individual
ANDREA CHRISTINA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3050
(626) 993-3100
Mailing address
105 W MONTANA ST, PASADENA, CA 91103-1731
(626) 720-2161
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN713569
CA
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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