JOHANNA PORTOVIEJO

BROOKLYN, NY
NPI1164818324
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  647696)
Enumeration Date2015-04-14
Last Update Date2015-04-14
Business Address
-- JOHANNA PORTOVIEJO
326 VAN BRUNT ST
BROOKLYN, NY 11231-1268
Phone number: 347-907-1979
Mailing Address
-- JOHANNA PORTOVIEJO
326 VAN BRUNT ST
BROOKLYN, NY 11231-1268
Phone number: