Individual
DIANA C ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 N LAFAYETTE BLVD, SOUTH BEND, IN 46601-1208
(574) 647-2171
(574) 647-1351
Mailing address
328 N MICHIGAN ST, SUITE 200, SOUTH BEND, IN 46601-1244
(574) 647-1842
(574) 647-1825
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
NA
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006747000
—
IN
Enumeration date
12/21/2006
Last updated
07/09/2007
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