Individual
MRS. LESLIE CAROL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
260 HOSPITAL DR STE 204, UKIAH, CA 95482-4568
(707) 463-7459
(707) 468-9179
Mailing address
260 HOSPITAL DR STE 204, UKIAH, CA 95482-4568
(707) 463-7459
(707) 468-9179
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
416490
CA
Other
Enumeration date
07/28/2006
Last updated
09/03/2021
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