DESIRAE PORTILLO

HUNTINGTON PARK, CA
NPI1982319539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2023-01-18
Last Update Date2023-01-18
Business Address
DESIRAE PORTILLO
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number: 323-346-0960
Mailing Address
DESIRAE PORTILLO
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number: