Individual
JESSICA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 N 12TH ST E, RIVERTON, WY 82501-3805
(307) 856-9281
Mailing address
31 BURMA RD, RIVERTON, WY 82501-8974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
39942
WY
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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