Individual
JULIA E ORTEGA FERCOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 LYNNHAVEN PKWY, SUITE 400, VIRGINIA BEACH, VA 23452-7332
(888) 880-9270
Mailing address
415 DUNDEE PL, FREDERICKSBURG, VA 22405-2088
(757) 771-8818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/25/2016
Last updated
10/26/2016
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