J CARLOS PORTILLO

SAN JOSE, CA
NPI1982121828
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: CA  18923)
Enumeration Date2017-08-22
Last Update Date2022-07-21
Business Address
J CARLOS PORTILLO D.C.
1836 HAMILTON AVE
SAN JOSE, CA 95125-5631
Phone number: 408-459-8340
Mailing Address
J CARLOS PORTILLO D.C.
1836 HAMILTON AVE
SAN JOSE, CA 95125-5631
Phone number: 408-459-8340
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