Individual
MARCOS JR ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 PHYSICAL EDUCATION BUILDING, CHENEY, WA 99004-2476
(509) 359-2427
Mailing address
501 S 12TH ST, SUNNYSIDE, WA 98944-2244
(509) 439-7568
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
10/03/2024
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