Individual
MELISSA PORTELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.
Contact information
Practice address
25250 N 35TH AVE, PHOENIX, AZ 85083-4335
(623) 445-7193
Mailing address
25250 N 35TH AVE, PHOENIX, AZ 85083-4335
(623) 445-7193
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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