Individual
CANDY M ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6 GIRDLER RD, MARBLEHEAD, MA 01945-2205
(781) 910-8628
Mailing address
6 GIRDLER RD, MARBLEHEAD, MA 01945-2205
(781) 910-8628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN270962
MA
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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