Individual provider · Type 1 NPI

Mary Grace Dorothy Roldan Ortega

Student in an Organized Health Care Education/Training Program · Cumberland Gap, TN

NPI number 1730927161 Active

Practice location

125 Leopard Ln
Cumberland Gap, TN 37724-4458

Mailing address

125 Leopard Ln # 125
Cumberland Gap, TN 37724-4458

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730927161

Mary Grace Dorothy Roldan Ortega's National Provider Identifier is 1730927161, issued on Jul 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cumberland Gap, TN. The record was last updated on Jul 18, 2024.