Individual
MAYRA LIZETH ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12576 E 30TH AVE, AURORA, CO 80011-2732
(303) 731-7913
Mailing address
12576 E 30TH AVE, AURORA, CO 80011-2732
(303) 731-7913
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0332769
CO
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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