Individual
TAVA MARIE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 S SOLANO DR, LAS CRUCES, NM 88001-3758
(575) 522-4004
Mailing address
3654 SANTA SABINA AVE, LAS CRUCES, NM 88012-7488
(575) 520-2907
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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