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Individual

MISS ROXANE JEANETTE ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
8400 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2302
(505) 559-9134
Mailing address
8501 PALOMAR AVE NE, ALBUQUERQUE, NM 87109-5198
(505) 980-1385

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006758
NM

Other

Enumeration date
09/13/2007
Last updated
09/13/2007
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