MEDICARE: RAMONA WHITE-ORTEGA PDCLD, AZDHS DOULA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula	DOU201	AZ

General Provider Information

NPI Number	:	1407138829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMONA WHITE-ORTEGA PDCLD, AZDHS DOULA

Provider Business Mailing Address
First Line	:	4283 N LIMBERLOST PL
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-1625
Country	:	US
Telephone Number	:	520-631-5064
Fax Number	:

Provider Business Practice Location Address
First Line	:	4283 N LIMBERLOST PL
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-1625
Country	:	US
Telephone Number	:	520-631-5064
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2011
Last Update Date	:	08/01/2025

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