CARLOS-MIGUEL DEL PORTILLO

PORTERVILLE, CA
NPI1689367666
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  95002077)
Enumeration Date2023-05-26
Last Update Date2023-05-26
Business Address
CARLOS-MIGUEL DEL PORTILLO CRNA
465 W PUTNAM AVE
PORTERVILLE, CA 93257-3320
Phone number: 559-784-1110
Mailing Address
CARLOS-MIGUEL DEL PORTILLO CRNA
PO BOX 7096
STOCKTON, CA 95267-0096
Phone number:
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