Provider Demographics
NPI:1871003756
Name:CORTEZ, NAJELLY CIOMARA (MA)
Entity Type:Individual
Prefix:MS
First Name:NAJELLY
Middle Name:CIOMARA
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 213093
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91921-3093
Mailing Address - Country:US
Mailing Address - Phone:888-417-5163
Mailing Address - Fax:888-316-1604
Practice Address - Street 1:16707 GARFIELD AVE SPC 2002
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-7636
Practice Address - Country:US
Practice Address - Phone:562-314-6730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide