Individual
BRANDY ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 MARY KAY BLVD, BENTON, AR 72015-7201
(501) 315-3344
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
226732
AR
Other
Enumeration date
04/03/2019
Last updated
01/09/2024
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