LOURDES T ORTIZ

SAN ANTONIO, TX
NPI1689063679
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy282E00000X 
(Licence: PR  009252)
Enumeration Date2015-01-14
Last Update Date2015-01-14
Business Address
-- LOURDES T ORTIZ
5806 PROVIDENCE OAK
SAN ANTONIO, TX 78249-4878
Phone number: 787-241-0728
Mailing Address
-- LOURDES T ORTIZ
PO BOX 57
CANOVANAS, PR 00729-0057
Phone number: 787-241-0728
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