Individual
MR. FRANCISCO PUENTE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
801 BROADWAY AVE, EL CENTRO, CA 92243
(760) 482-4108
(760) 482-4188
Mailing address
801 BROADWAY AVE, EL CENTRO, CA 92243
(760) 482-4108
(760) 482-4188
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT26166
CA
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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