Individual
AUTUMN ALYSE ORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
775 S MAIN ST, CHELSEA, MI 48118-1383
(734) 593-6269
Mailing address
640 N SCOTT ST, ADRIAN, MI 49221-1369
(734) 657-5929
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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