Individual
MRS. JENNIFER ELICE ORTEGA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
600 W ROSEDALE ST, FORT WORTH, TX 76104-4621
(817) 920-6722
(817) 920-6748
Mailing address
600 W ROSEDALE ST, FORT WORTH, TX 76104-4621
(817) 920-6722
(817) 920-6748
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
33853
TX
Other
Enumeration date
12/06/2005
Last updated
07/08/2007
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