Individual
MRS. ROSAURA ORTIZ GAMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10605 BALBOA BLVD, SUITE 100, GRANADA HILLS, CA 91344-6342
(818) 832-2415
Mailing address
13514 LAZARD ST, SAN FERNANDO, CA 91340-1021
(818) 361-5603
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN 545533
CA
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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