Individual
TIWANNA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
9308 RHONI COURT, FORT WORTH, TX 76140
(682) 203-2218
Mailing address
9308 RHONI COURT, FORT WORTH, TX 76140
(682) 203-2218
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1105633
TX
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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