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Individual

ASHLEY ORTEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 CLINTON CT, BELEN, NM 87002-9508
(505) 377-3540
Mailing address
201 CLINTON CT, BELEN, NM 87002-9508
(505) 377-3540

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
512153305
NM

Other

Enumeration date
08/22/2016
Last updated
08/22/2016
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