Individual
NELLIE ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 LUNA ST SE, LOS LUNAS, NM 87031-9277
(505) 565-1619
(505) 565-1620
Mailing address
8 HILDA LN, LOS LUNAS, NM 87031-8848
(505) 565-1619
(505) 565-1620
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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