MAXIMILIAN GREGORY ORTIZ

CARENCRO, LA
NPI1548867260
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date2020-10-06
Last Update Date2020-10-06
Business Address
MAXIMILIAN GREGORY ORTIZ
113 E SAINT PETER ST
CARENCRO, LA 70520-4008
Phone number: 225-239-2301
Mailing Address
MAXIMILIAN GREGORY ORTIZ
PO BOX 187
CARENCRO, LA 70520-0187
Phone number: 225-239-2301
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