Alicia Carmen Ortiz

NPI #1205284403 in Romulus, Michigan

Provider Information

NPI Number: 1205284403
Entity Type: Individual
Name: Alicia Carmen Ortiz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: May 27, 2016
Last Updated: May 27, 2016

Practice Location

Address: 33975 PINEWOODS CIR
Address 2: APT 205
City: Romulus
State: Michigan
ZIP Code: 48174-8222
Phone: (248) 704-5490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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