Individual
DEISI A ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2751 NAPA VALLEY CORPORATE DR FL 2, NAPA, CA 94558-6216
(707) 253-4279
Mailing address
4 BIRCH PL, NAPA, CA 94558
(707) 230-7567
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN696637
CA
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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