Individual
REGIN CLENN ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CLS
Contact information
Practice address
846 TOWNSITE DR, VISTA, CA 92084-5566
(760) 586-1015
Mailing address
846 TOWNSITE DR, VISTA, CA 92084-5566
(760) 586-1015
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
MTA01006386
CA
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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