Individual
BEATRIZ A PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PARKMOOR AVE STE 210, SAN JOSE, CA 95126-3798
(408) 961-9818
Mailing address
1400 PARKMOOR AVE STE 210, SAN JOSE, CA 95126-3798
(415) 571-6356
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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