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1376151662
CHELSEA PORTILLO
FAIRFAX STATION, VA
NPI
1376151662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024179768)
Enumeration Date
2020-07-22
Last Update Date
2023-07-06
Business Address
CHELSEA PORTILLO NP
9009 SILVERBROOK RD
FAIRFAX STATION, VA 22039-2607
Phone number: 703-493-8531
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Mailing Address
CHELSEA PORTILLO NP
9009 SILVERBROOK RD
FAIRFAX STATION, VA 22039-2607
Phone number: 866-389-2727
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