KENNETH O. PORTES

SACRAMENTO, CA
NPI1427710789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95208847)
Enumeration Date2021-10-13
Last Update Date2021-10-13
Business Address
KENNETH O. PORTES RN
4378 AUBURN BLVD
SACRAMENTO, CA 95841-4175
Phone number: 279-348-7200
Mailing Address
KENNETH O. PORTES RN
4378 AUBURN BLVD
SACRAMENTO, CA 95841-4175
Phone number: 279-348-7200