ROBERTO ANTONIO PORTILLO

LITTLE ROCK, AR
NPI1699472266
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: AR  R094202)
Enumeration Date2023-02-14
Last Update Date2023-02-14
Business Address
Mr. ROBERTO ANTONIO PORTILLO R.N.
4300 W 7TH ST
LITTLE ROCK, AR 72205-5446
Phone number: 501-257-5115
Mailing Address
Mr. ROBERTO ANTONIO PORTILLO R.N.
3 CRAPE MYRTLE PL
LITTLE ROCK, AR 72210-5654
Phone number: 501-952-3337