Individual
MISS LILLY MAIRE ORTEGA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
12825 MINNIEVILLE RD, LAKE RIDGE, VA 22192-3601
(703) 523-9800
Mailing address
3825 KOVAL LN, WOODBRIDGE, VA 22192
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E3910744
VA
Other
Enumeration date
09/20/2025
Last updated
09/20/2025
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