Individual
JAIME ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
982 WHITE RANCH CIR, CORONA, CA 92881-4742
(714) 231-7757
(951) 735-0172
Mailing address
982 WHITE RANCH CIR, CORONA, CA 92881-4742
(714) 231-7757
(951) 735-0172
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 162693
CA
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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