MELISSA GALE PORTILLO

FAIRFIELD, OH
NPI1881986016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: OH  PN-124453-M-IV)
Enumeration Date2011-05-05
Last Update Date2011-05-05
Business Address
-- MELISSA GALE PORTILLO LPN
3531 WOODRIDGE BLVD 11
FAIRFIELD, OH 45014-8545
Phone number: 513-969-5726
Mailing Address
-- MELISSA GALE PORTILLO LPN
3531 WOODRIDGE BLVD 11
FAIRFIELD, OH 45014-8545
Phone number: 513-969-5726
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