JAVIER PORTELLA

FALLS CHURCH, VA
NPI1417256421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence:   03-262)
Enumeration Date2011-03-17
Last Update Date2011-09-01
Business Address
-- JAVIER PORTELLA SA-C
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 678-983-4479
Mailing Address
-- JAVIER PORTELLA SA-C
PO BOX 543
ALPHARETTA, GA 30009-0543
Phone number: 678-983-4479
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