KENNETH ORDIZ MUTIA

FORT BLISS, TX
NPI1518792704
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-09-06
Last Update Date2024-09-06
Business Address
KENNETH ORDIZ MUTIA
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906-5327
Phone number: 915-742-2273
Mailing Address
KENNETH ORDIZ MUTIA
3747 VALLEYVIEW ST
MOHEGAN LAKE, NY 10547-1034
Phone number: 914-522-6001