Individual
MRS. SHERYLL DIANE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
(000) 000-0000
Mailing address
56562 DESERT SKY DR, YUCCA VALLEY, CA 92284-3630
(760) 285-8736
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
300988
CA
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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