RICHARD ALAN PORTILLO

MODESTO, CA
NPI1255450524
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: CA  OPT 7865 TPL)
Enumeration Date2007-03-28
Last Update Date2012-03-30
Business Address
Dr. RICHARD ALAN PORTILLO O.D.
1624 I ST
MODESTO, CA 95354-1122
Phone number: 209-578-4885
Mailing Address
Dr. RICHARD ALAN PORTILLO O.D.
PO BOX 1743
MODESTO, CA 95353-1743
Phone number: 209-578-4885
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