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Tabitha Ortiz

Registered Nurse in Manteca, CA. Individual provider (NPI-1).

NPI number1982254322
StatusActive
Last updated in NPPESSep 18, 2019

Details

NPI
1982254322
Entity type
Individual (NPI-1)
Name
Tabitha Ortiz
Sex
Female
Sole proprietor
No
Enumeration date
Sep 18, 2019
Last updated
Sep 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse95066523CAYes
364SC1501X Clinical Nurse Specialist, Community Health/Public Health549487CA

Practice location

1205 E North St
Manteca, CA 95336-4932

Phone 209-823-3111

Mailing address

1832 Estancia Dr
Hughson, CA 95326-9163

Phone 909-969-4050

Other practice locations

1832 Estancia Dr
Hughson, CA 95326-9163

Phone 909-969-4050

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