Mary Grace Dorothy Roldan Ortega

NPI #1730927161 in Cumberland Gap, Tennessee

Provider Information

NPI Number: 1730927161
Entity Type: Individual
Name: Mary Grace Dorothy Roldan Ortega
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 18, 2024
Last Updated: Jul 18, 2024

Practice Location

Address: 125 LEOPARD LN
City: Cumberland Gap
State: Tennessee
ZIP Code: 37724-4458
Phone: (404) 510-4902

Specialties & Taxonomy Codes

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

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