Individual
VICTOR EMANUEL ORTIZ DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 E MAIN ST STE B, LEBANON, KY 40033-8695
(270) 699-2323
(270) 699-2323
Mailing address
703 E MAIN ST STE B, LEBANON, KY 40033-8695
(270) 699-2323
(270) 699-2323
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
286517
KY
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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