Kimberly Jossely Iniguez Ortiz

NPI #1447738059 in Poratles, New Mexico

Provider Information

NPI Number: 1447738059
Entity Type: Individual
Name: Kimberly Jossely Iniguez Ortiz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 6, 2018
Last Updated: Aug 6, 2018

Practice Location

Address: 1500 S AVE K
Address 2: STATION 3, SHROC
City: Poratles
State: New Mexico
ZIP Code: 88130
Phone: (575) 562-2724

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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