Individual
SANDRA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 LARKSPUR DR, ALISO VIEJO, CA 92656-1881
(949) 275-8207
Mailing address
24 LARKSPUR DR, ALISO VIEJO, CA 92656-1881
(949) 275-8207
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95273342
CA
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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