Individual
CARMEN YADIRA ORTIZ
Active
Individual
CARMEN YADIRA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/05/2018
Last updated
03/07/2019
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