Individual
FLORA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1395 BANCROFT AVE, SAN LEANDRO, CA 94577-5103
(510) 357-0205
Mailing address
1395 BANCROFT AVE, SAN LEANDRO, CA 94577-5103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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