Individual
JENNA AVERY ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4030 HIGHWAY 6 S STE 150, COLLEGE STATION, TX 77845-1808
(979) 431-3380
Mailing address
4340 DECATUR DR APT 5210, COLLEGE STATION, TX 77845-9723
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
946436
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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