Individual
JOSHUA ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18160 COUNTRYSIDE LN APT 5D, RUTHER GLEN, VA 22546-2749
(540) 914-7664
Mailing address
18160 COUNTRYSIDE LN APT 5D, RUTHER GLEN, VA 22546-2749
(540) 914-7664
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B63432732
VA
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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