Mateo Ezequiel Ortiz Cuesta
NPI #1104639178 in Fort Bragg, California
Provider Information
- NPI Number
- 1104639178
- Entity Type
- Individual
- Name
- Mateo Ezequiel Ortiz Cuesta
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Day Training/Habilitation Specialist
- Enumeration Date
- Jan 31, 2025
- Last Updated
- Apr 22, 2025
Practice Location
- Address
- 101 N FRANKLIN ST
- City
- Fort Bragg
- State
- California
- ZIP Code
- 95437-3602
- Phone
- (707) 941-0859
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
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