Individual
ASHLEY ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 FENNO ST, REVERE, MA 02151-3808
(617) 637-6303
Mailing address
90 FENNO ST, REVERE, MA 02151-3808
(617) 637-6303
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1760868798
MA
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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