Individual
KAYLA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 CHINOOK LN, PUEBLO, CO 81001-1851
(719) 545-2746
Mailing address
683 S WATERMELON DR, PUEBLO WEST, CO 81007-2858
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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