Individual
NATHAN PORTUGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT-SDS, RPSGT
Contact information
Practice address
9961 SIERRA AVE., MOB #7, FONTANA, CA 92335
(909) 427-4432
Mailing address
37136 AMATEUR WAY, BEAUMONT, CA 92223-8099
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
30728
CA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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