Individual
MARIE ELOIS ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9036 CRABAPPLE ST, PORTSMOUTH, VA 23704-4127
(757) 582-9538
Mailing address
9036 CRABAPPLE ST, PORTSMOUTH, VA 23704-4127
(757) 582-9538
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
0001175543
VA
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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