DERRICK A ORTEGA

LAS VEGAS, NM
NPI1073272118
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NM  B-11075)
Enumeration Date2021-12-16
Last Update Date2021-12-16
Business Address
DERRICK A ORTEGA
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701-9549
Phone number: 505-454-2100
Mailing Address
DERRICK A ORTEGA
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701-9549
Phone number:
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