Individual
MISS CHRISTINA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
831 PESCADOS DR, LAS VEGAS, NV 89123-1360
(702) 301-5718
Mailing address
831 PESCADOS DR, LAS VEGAS, NV 89123-1360
(702) 301-5718
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
1701426301
NV
372500000X
Chore Provider
Primary
1701426301
NV
372600000X
Adult Companion
1701426301
NV
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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