FIDIAS RAFAEL ORTIZ

ANCHORAGE, AK
NPI1902411911
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-09-15
Last Update Date2020-09-15
Business Address
FIDIAS RAFAEL ORTIZ
1709 BRAGAW ST
ANCHORAGE, AK 99508-3436
Phone number: 907-562-5340
Mailing Address
FIDIAS RAFAEL ORTIZ
9341 REDCOAT PL
ANCHORAGE, AK 99507-5365
Phone number:
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