EDGAR ESTEBAN PORTILLO

TUCSON, AZ
NPI1467690701
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: AZ  AP3259)
Enumeration Date2009-01-24
Last Update Date2011-12-13
Business Address
MR. EDGAR ESTEBAN PORTILLO FNP-BC
1310 W SAINT MARYS RD
TUCSON, AZ 85745-3170
Phone number: 520-622-1366
Mailing Address
MR. EDGAR ESTEBAN PORTILLO FNP-BC
1310 W SAINT MARYS RD
TUCSON, AZ 85745-3170
Phone number: 520-622-1366