MARY ALICE PORTILLO

RICHMOND, VA
NPI1790091429
Former NameMARY ALICE SALUKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: VA  0618001974)
Enumeration Date2010-08-18
Last Update Date2010-08-18
Business Address
-- MARY ALICE PORTILLO O.D.
2400 SHEILA LN
RICHMOND, VA 23225-2040
Phone number: 804-433-1950
Mailing Address
-- MARY ALICE PORTILLO O.D.
136 IVY DR APT. 12
CHARLOTTESVILLE, VA 22903-5033
Phone number: 937-681-2304
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