CANDACE B ORTIZ

EL MIRAGE, AZ
NPI1093574048
Former NameCANDACE SHAW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AZ  OTH-009565)
Enumeration Date2024-03-13
Last Update Date2025-01-21
Business Address
CANDACE B ORTIZ
12428 W THUNDERBIRD RD
EL MIRAGE, AZ 85335-3113
Phone number: 623-399-6159
Mailing Address
CANDACE B ORTIZ
12428 W THUNDERBIRD RD
EL MIRAGE, AZ 85335-3113
Phone number: 623-399-6159
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