Most Relevant Information
Provider Data
NPI Number: | 1003586405 |
Provider Name: | GABRIELA ORTEGA |
Entity Type: | Individual |
Taxonomy Code: | 183700000X |
Specialty: | Pharmacy Technician |
License Number: | 205943 |
Most Important Dates
Enumeration Date: | 09/16/2021 |
Last Updated: | 09/16/2021 |
Provider Practice Location
101 S CLAY ST
ENNIS
TX
751194519
Practice Location Phone/Fax
Phone: | 9728758313 |
Fax: |
Provider Mailing Location
101 S CLAY ST
ENNIS
TX
751194519
Provider Mailing Phone/Fax
Phone: | 9728758313 |
Fax: |