| NPI | 1659151603 |
|---|---|
| Former Legal Business Name | ORTIZ ESSENTIAL VITAMINS ENERGY INC |
| Entity Type | Organization |
| Authorized Contact | ABIMAEL ORTIZ AVILES President 939-264-4522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |