Individual
ALFREDO ISAAC ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2751 NAPA VALLEY CORPORATE DR UNIT B, NAPA, CA 94558-6216
(707) 253-4711
Mailing address
509 UNION CT, BENICIA, CA 94510-1327
(925) 351-9129
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95141223
CA
Other
Enumeration date
12/30/2019
Last updated
06/25/2021
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