Individual
KENNETH ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6236 N CATTLETRACK RD, PRESCOTT VALLEY, AZ 86314-3318
(928) 420-2974
Mailing address
6236 N CATTLETRACK RD, PRESCOTT VALLEY, AZ 86314-3318
(928) 420-2974
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
—
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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