SHANNON RAE ORTIZ

LAS VEGAS, NM
NPI1942024559
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-11-11
Last Update Date2024-11-11
Business Address
SHANNON RAE ORTIZ
2528 RIDGE RUNNER RD
LAS VEGAS, NM 87701-4971
Phone number: 505-425-2622
Mailing Address
SHANNON RAE ORTIZ
2528 RIDGE RUNNER RD
LAS VEGAS, NM 87701-4971
Phone number: 505-425-2622
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