Individual
MRS. JOLYN ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C-IAYT
Contact information
Practice address
2539 GRANARY RD, MISSOULA, MT 59808-8748
(406) 531-7110
Mailing address
2539 GRANARY RD, MISSOULA, MT 59808-8748
(406) 531-7110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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