Individual
MR. CODY LEE ORTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40950 CHAPEL WAY, FREMONT, CA 94538-4236
(510) 226-6180
Mailing address
40950 CHAPEL WAY, FREMONT, CA 94538
(510) 226-6180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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