Individual
BONNIE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
845 WASHINGTON ST, KERRVILLE, TX 78028-3316
(512) 797-8728
Mailing address
845 WASHINGTON ST, KERRVILLE, TX 78028-3316
(512) 797-8728
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
329935
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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