Individual
SANDRA ANN PORTALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4009 HAGE ST, HOUSTON, TX 77093-6035
(346) 288-7742
Mailing address
4009 HAGE ST, HOUSTON, TX 77093-6035
(346) 288-7742
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0060052053
TX
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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