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Individual

ANICETO ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
149 E PRATER WAY APT B, SPARKS, NV 89431-4646
(775) 722-7578
Mailing address
1005 TERMINAL WAY STE 125, RENO, NV 89502-2198
(877) 786-4999

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
03/30/2020
Last updated
03/30/2020
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