Individual
RICARDO SOCORRO ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1155 CHEROKEE ST, DENVER, CO 80204-3632
(303) 602-7821
Mailing address
1155 CHEROKEE ST, DENVER, CO 80204-3632
(303) 602-7821
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
1635380
CO
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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