Individual
MRS. JESSIE JESUSYESENIA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8585 KNOTT AVE, BUENA PARK, CA 90620-3896
(714) 821-8588
(714) 821-4482
Mailing address
8585 KNOTT AVE, BUENA PARK, CA 90620-3896
(714) 821-8588
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95009346
CA
Other
Enumeration date
08/19/2011
Last updated
04/05/2019
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