Individual
KELLY MARIE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 SHADOWBROOK DR, SPRING, TX 77380-2233
(713) 410-4868
Mailing address
22946 HIGHLAND ESTATES CT, CONROE, TX 77385-8131
(713) 410-4868
(832) 442-4807
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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