DIANA PORTILLO

WORCESTER, MA
NPI1629692470
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WG0000X Registered Nurse, General Practice
(Licence: MA  RN2340199)
Enumeration Date2020-06-07
Last Update Date2020-06-07
Business Address
DIANA PORTILLO RN BSN
19 TACOMA ST
WORCESTER, MA 01605-3516
Phone number: 508-852-1805
Mailing Address
DIANA PORTILLO RN BSN
7 LAUREL ST APT 10
WORCESTER, MA 01608-1049
Phone number: 508-762-6023