Individual
ALEXIS EMILY PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 E TROPICANA AVE # 580, LAS VEGAS, NV 89119-6517
(702) 898-5311
(702) 222-3275
Mailing address
4520 POWELL POINT WAY, NORTH LAS VEGAS, NV 89031-4325
(702) 350-8193
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
IC-1763
NV
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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