Individual
ALICE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9200
Mailing address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
848362
CA
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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