Individual
ANGELENA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3099
(580) 354-5681
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3099
(580) 354-5681
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
H081911335
OK
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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