Individual
RYAN ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1908 1/2 OLD TOWN RD NW, ALBUQUERQUE, NM 57104
(850) 499-5678
Mailing address
1908 1/2 OLD TOWN RD NW, ALBUQUERQUE, NM 57104
(850) 499-5678
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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