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Individual

GEORGINA ORTEGA MORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
112 CHILDRENS CIR, SANTA ROSA, CA 95409-6558
(707) 492-4450
Mailing address
2227 CAPRICORN WAY, SANTA ROSA, CA 95407-5478
(707) 492-4450

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
12/15/2023
Last updated
09/02/2025
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