Individual
BRIDGET ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
715 E IDAHO AVE STE 1C, LAS CRUCES, NM 88001-3793
(505) 569-0151
Mailing address
2855 CALLE DE FIRA, LAS CRUCES, NM 88007-8000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6997
NM
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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