Individual
RAYMOND GABRIEL ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10293 NATIONS CIR, STOCKTON, CA 95209-4552
(209) 688-4677
Mailing address
10293 NATIONS CIR, STOCKTON, CA 95209-4552
(209) 688-4677
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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