JAKE PORTUGAL

SAN DIEGO, CA
NPI1205607264
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-01-09
Last Update Date2024-01-09
Business Address
JAKE PORTUGAL
2655 CAMINO DEL RIO N STE 450
SAN DIEGO, CA 92108-1603
Phone number: 619-455-8622
Mailing Address
JAKE PORTUGAL
2655 CAMINO DEL RIO N STE 450
SAN DIEGO, CA 92108-1603
Phone number:
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