Individual
NOEMI ORTEGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
246 STOLNET ST, SAN ANTONIO, TX 78220-2503
(210) 459-9464
Mailing address
246 STOLNET ST, SAN ANTONIO, TX 78220-2503
(210) 459-9464
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/13/2015
Last updated
10/21/2016
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