DIANE C. ORTIZ

ESPANOLA, NM
NPI1366675852
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0119851)
Enumeration Date2009-08-31
Last Update Date2009-09-02
Business Address
Mrs. DIANE C. ORTIZ LADAC
612 N PASEO DE ONATE
ESPANOLA, NM 87532-2963
Phone number: 505-753-2203
Mailing Address
Mrs. DIANE C. ORTIZ LADAC
PO BOX 520 612 N. PASEO DE ONATE
ESPANOLA, NM 87532-0520
Phone number: 505-753-2203
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