Individual
HECTOR ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1481 WINDSOR DR, SAN BERNARDINO, CA 92404-5416
(909) 361-6470
Mailing address
1481 WINDSOR DR, SAN BERNARDINO, CA 92404-5416
(909) 361-6470
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
708441
CA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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