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Individual

GRACE ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8202 GARDENSIDE CT, SACRAMENTO, CA 95829-9282
(916) 544-1386
Mailing address
8202 GARDENSIDE CT, SACRAMENTO, CA 95829-9282
(916) 544-1386

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
771933
CA
363L00000X
Nurse Practitioner
Primary
F04250092
CA

Other

Enumeration date
12/10/2024
Last updated
02/26/2026
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