Individual
ANTUANETT ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 RUTHERFORD ST, NEW BRITAIN, CT 06051-3226
(860) 838-1170
Mailing address
17 RUTHERFORD ST, NEW BRITAIN, CT 06051-3226
(860) 838-1170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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