Individual
MR. JOSE ANTONIO ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3533 ROUND VALLY WAY, NV, NV 89129
(703) 653-3880
Mailing address
3411 CARSWELL AVE, APO, AA 89191
(702) 653-3880
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
2033
CO
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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