MARY PORTILLOS

PUEBLO, CO
NPI1508984550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
-- MARY PORTILLOS LPN
1012 W ABRIENDO AVE
PUEBLO, CO 81004-1128
Phone number: 719-545-2746
Mailing Address
-- MARY PORTILLOS LPN
1012 W ABRIENDO AVE
PUEBLO, CO 81004-1128
Phone number: 719-545-2746