Individual
ANTOINETTE RENE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1363 N HACIENDA BLVD, LA PUENTE, CA 91744-1600
(626) 337-0753
(626) 465-4694
Mailing address
1250 S SUNSET AVE SUITE 350, WEST COVINA, CA 91790-9179
(626) 377-0753
(626) 465-4694
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
77620
CA
Other
Enumeration date
06/11/2020
Last updated
10/24/2023
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