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1730919705
JESSICA ALEX PORTILLO
SAN BERNARDINO, CA
NPI
1730919705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-08-05
Last Update Date
2024-08-22
Business Address
JESSICA ALEX PORTILLO
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number: 909-388-9191
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Mailing Address
JESSICA ALEX PORTILLO
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number:
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