Individual
GRISEL PORTILLO JARAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19517 SAN CHISOLM DR, ROUND ROCK, TX 78664-3961
(915) 274-2751
Mailing address
19517 SAN CHISOLM DR, ROUND ROCK, TX 78664-3961
(915) 274-2751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
881608
TX
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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