JOSUE PORTILLO

LAS VEGAS, NV
NPI1912467119
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NV  DO3260)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
207P00000X Emergency Medicine
(Licence: IL  125.075128)
Enumeration Date2019-03-22
Last Update Date2023-01-31
Business Address
JOSUE PORTILLO
1701 W CHARLESTON BLVD
LAS VEGAS, NV 89102-2325
Phone number: 702-540-4127
Mailing Address
JOSUE PORTILLO
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: