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1861265548
ALEXANDRIA MIA PORTILLA
NEW YORK, NY
NPI
1861265548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY F352697-01)
Enumeration Date
2023-11-03
Last Update Date
2023-11-03
Business Address
ALEXANDRIA MIA PORTILLA FNP
12 E 86TH ST
NEW YORK, NY 10028-0506
Phone number: 212-861-6660
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Mailing Address
ALEXANDRIA MIA PORTILLA FNP
16509 MAGOLIA CT
SILVER SPRING, MD 20905
Phone number: 305-479-3928
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