Individual
MOISES ORTIZ RODARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4170 S DECATUR BLVD STE C1, LAS VEGAS, NV 89103-5863
(702) 659-8827
Mailing address
4170 S DECATUR BLVD STE C1, LAS VEGAS, NV 89103-5863
(702) 659-8827
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
IC-2635
NV
Other
Enumeration date
12/13/2021
Last updated
03/17/2025
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