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Individual

ORESTES ROMAN ORTEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NURSE PRACTITIONER

Contact information

Practice address
3130 E BASELINE RD STE 105, MESA, AZ 85204-7290
(480) 497-5933
(480) 497-5934
Mailing address
2031 W DIXON ST, MESA, AZ 85201-4416
(602) 481-7286

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
245660
AZ
363LF0000X
Family Nurse Practitioner
Primary
TEMP245660
AZ

Other

Enumeration date
07/07/2023
Last updated
07/26/2023
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