Mark L Ortega, BMS

NPI #1023341286 in Las Vegas, New Mexico

Provider Information

NPI Number
1023341286
Entity Type
Individual
Name
Mark L Ortega, BMS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Credential
BMS
Enumeration Date
Sep 4, 2009
Last Updated
Sep 4, 2009

Practice Location

Address
720 UNIVERSITY AVE
ZIP Code
87701-4250
Phone
(505) 454-8265

Specialties & Taxonomy Codes

Specialty
Counselor

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