Individual
BRENDA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3607 MAIN STREET, SUITE A, FREMONT, CA 94538
(510) 270-1200
(510) 249-9623
Mailing address
3607 MAIN STREET, SUITE A, FREMONT, CA 94538
(510) 270-1200
(510) 249-9623
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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