ALFREDO MANUEL PORTILLO

APPLE VALLEY, CA
NPI1639852635
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  95026013)
Enumeration Date2023-08-08
Last Update Date2023-08-08
Business Address
ALFREDO MANUEL PORTILLO AG-ACNP
18300 CA-18
APPLE VALLEY, CA 92307
Phone number: 760-242-2311
Mailing Address
ALFREDO MANUEL PORTILLO AG-ACNP
18310 CA-18 SUITE B
APPLE VALLEY, CA 92307
Phone number: 760-998-2312
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