Individual
OREL ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 MAIN ST NE, LOS LUNAS, NM 87031-6340
(505) 865-7551
(505) 865-7018
Mailing address
PO BOX 86, JARALES, NM 87023-0086
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006671
NM
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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