Individual
MASSIEL ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
89 N 10TH ST, SAN JOSE, CA 95112-3418
(813) 755-0451
Mailing address
89 N 10TH ST, SAN JOSE, CA 95112-3418
(813) 476-1315
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95136228
CA
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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