Individual
JAIR IGNACIO ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1161 E COVINA BLVD, COVINA, CA 91724-1523
(626) 827-6252
Mailing address
247 E PUENTE ST, COVINA, CA 91723-3004
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN95334890
CA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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