Most Relevant Information
Provider Data
| NPI Number: | 1003579962 |
| Provider Name: | JESSICA JASMINE ORTEGA |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/18/2021 |
| Last Updated: | 10/18/2021 |
Provider Practice Location
2221 RIO GRANDE BLVD NW
ALBUQUERQUE
NM
871042529
Practice Location Phone/Fax
| Phone: | 5052694999 |
| Fax: |
Provider Mailing Location
2221 RIO GRANDE BLVD NW
ALBUQUERQUE
NM
871042529
Provider Mailing Phone/Fax
| Phone: | 5052699499 |
| Fax: |