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Individual

MS. ANGELA MARIE ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
432 HAWLEY ST, ROCHESTER, NY 14611-3612
(585) 794-7488
Mailing address
432 HAWLEY ST, ROCHESTER, NY 14611-3612
(585) 794-7488

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
325943
NY

Other

Enumeration date
07/21/2016
Last updated
07/21/2016
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