Most Relevant Information
Provider Data
| NPI Number: | 1003268814 |
| Provider Name: | LUZAIDA ORTEGA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/05/2016 |
| Last Updated: | 07/05/2016 |
Provider Practice Location
135 MILL ST
SOUTHBRIDGE
MA
015501261
Practice Location Phone/Fax
| Phone: | 7742308380 |
| Fax: |
Provider Mailing Location
135 MILL ST
SOUTHBRIDGE
MA
015501261
Provider Mailing Phone/Fax
| Phone: | 7742308380 |
| Fax: |