Individual
MEGAN V ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 312-5858
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6620
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
L0070576
OK
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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