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1508581208
ERICELDA PORTILLO
CULVER CITY, CA
NPI
1508581208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 715360)
Enumeration Date
2022-10-05
Last Update Date
2022-10-05
Business Address
ERICELDA PORTILLO
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone number: 310-945-3350
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Mailing Address
ERICELDA PORTILLO
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone number: 310-945-3350
Copy
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