Individual
GUADALUPE ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 S RANCHO DR, STE D, LAS VEGAS, NV 89106-4873
(702) 878-2244
Mailing address
4912 PEARL MOUNTAIN CT, N LAS VEGAS, NV 89031-0390
(702) 646-4033
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1158
LICENSE #
NV
Enumeration date
09/14/2006
Last updated
07/08/2007
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