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1174217533
ELISA VIVIAN RACHEL ORTEGA
ELK GROVE, CA
NPI
1174217533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-06-07
Last Update Date
2024-08-13
Business Address
ELISA VIVIAN RACHEL ORTEGA
3161 DWIGHT RD
ELK GROVE, CA 95758-6456
Phone number: 916-427-7141
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Mailing Address
ELISA VIVIAN RACHEL ORTEGA
935 S CALIFORNIA ST
STOCKTON, CA 95206-1407
Phone number: 253-226-5921
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