Individual
ROMILLY ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
129 MEDICINE HORSE DR, CANONCITO, NM 87026
(505) 908-2307
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2017-0045
NM
Other
Enumeration date
08/31/2017
Last updated
10/05/2024
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