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Individual

GRACIELA J ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20928 127TH PL SE, KENT, WA 98031-9613
(760) 777-3352
Mailing address
20928 127TH PL SE, KENT, WA 98031-9613
(760) 777-3352

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
WA

Other

Enumeration date
04/25/2024
Last updated
04/25/2024
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