JACKELINE PORTILLO

VAN NUYS, CA
NPI1013620715
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  700603)
Enumeration Date2022-12-28
Last Update Date2022-12-28
Business Address
JACKELINE PORTILLO
7515 VAN NUYS BLVD
VAN NUYS, CA 91405-1949
Phone number: 818-627-3067
Mailing Address
JACKELINE PORTILLO
7515 VAN NUYS BLVD
VAN NUYS, CA 91405-1949
Phone number: 818-627-3000
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