Individual
DAVETTE JEWEL ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43909 30TH ST W, LANCASTER, CA 93536-5843
(661) 952-5000
Mailing address
42622 BISCAY ST, LANCASTER, CA 93536-4554
(661) 435-9719
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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