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Individual

KIMBERLY ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MEDICAL ASSISTANT

Contact information

Practice address
22034 HACKNEY CIR, LINCOLN, DE 19960-2528
(302) 424-0600
(302) 422-6214
Mailing address
22034 HACKNEY CIR, LINCOLN, DE 19960-2528

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary
4322-1885
DE

Other

Enumeration date
12/05/2014
Last updated
12/05/2014
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