Individual
CAROLINA ANDREA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7545 METROPOLITAN DR, SAN DIEGO, CA 92108-4402
(855) 232-5796
Mailing address
4527 COLLEGE WAY, SAN DIEGO, CA 92115-5429
(442) 279-6055
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
729913
CA
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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