LISSA YIBELL PORTILLO

LANCASTER, CA
NPI1740054238
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  724492)
Enumeration Date2023-11-14
Last Update Date2023-11-14
Business Address
Miss LISSA YIBELL PORTILLO LVN
4702 JEWEL DR
LANCASTER, CA 93536-4111
Phone number: 818-967-9187
Mailing Address
Miss LISSA YIBELL PORTILLO LVN
4702 JEWEL DR
LANCASTER, CA 93536-4111
Phone number: 818-967-9187