Individual
VANESSA MILAN ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1156 CALLE 62 SE, SAN JUAN, PR 00921-2724
(787) 758-2525
Mailing address
4201 SAINT ANTOINE ST STE 6A, DETROIT, MI 48201-2153
(313) 745-4627
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
6127066
PR
Other
Enumeration date
02/15/2018
Last updated
05/18/2023
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