Individual
RESURRECCION ORTIGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 ELBRIDGE ST, PHILADELPHIA, PA 19111-5511
(267) 596-0725
Mailing address
1332 ELBRIDGE ST, PHILADELPHIA, PA 19111-5511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN713421
PA
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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