Most Relevant Information
Provider Data
NPI Number: | 1003459470 |
Provider Name: | DIEGO TLALOC ORTIZ |
Entity Type: | Individual |
Taxonomy Code: | 343900000X |
Specialty: | Non-emergency Medical Transport (VAN) |
License Number: |
Most Important Dates
Enumeration Date: | 10/17/2019 |
Last Updated: | 10/17/2019 |
Provider Practice Location
1688 SANTIAGO AVE
NAPA
CA
945581953
Practice Location Phone/Fax
Phone: | 7073456578 |
Fax: |
Provider Mailing Location
1688 SANTIAGO AVE
NAPA
CA
945581953
Provider Mailing Phone/Fax
Phone: | 7073456578 |
Fax: |