Most Relevant Information
Provider Data
NPI Number: | 1003543653 |
Provider Name: | CLARISSA ADRIANA ORTEGA SUDRC |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: | 13468 |
Most Important Dates
Enumeration Date: | 08/03/2022 |
Last Updated: | 08/03/2022 |
Provider Practice Location
2035 FAIRMONT DR
SAN LEANDRO
CA
945781088
Practice Location Phone/Fax
Phone: | 5103463836 |
Fax: |
Provider Mailing Location
2035 FAIRMONT DR
SAN LEANDRO
CA
945781088
Provider Mailing Phone/Fax
Phone: | 5103467836 |
Fax: |