Individual
YARIS NOELIA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
167 NORTH MAIN ST, TUBA CITY, AZ 86045
(928) 283-2501
Mailing address
PO BOX 3943, TUBA CITY, AZ 86045-3943
(787) 457-5656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10570
PR
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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