Individual
MR. ROJELIO ORNELAS ORRANTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
300 EAST 1ST, PORTALES, NM 88130
(505) 359-1221
(505) 359-1075
Mailing address
800 N AVE L, PORTALES, NM 88130
(505) 799-5891
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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