SANDRA FAYE PORTILLO

UTICA, NY
NPI1871861351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  160467-1)
Enumeration Date2011-12-12
Last Update Date2019-10-15
Business Address
Ms. SANDRA FAYE PORTILLO
313 RUTGER ST APT 3
UTICA, NY 13501-3063
Phone number: 315-731-0147
Mailing Address
Ms. SANDRA FAYE PORTILLO
313 RUTGER ST APT 3
UTICA, NY 13501-3063
Phone number: 315-731-0147
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