Individual
MS. ALICIA GUADALUPE PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5450 POWER INN RD STE B, SACRAMENTO, CA 95820-6749
(916) 361-2089
(916) 388-9273
Mailing address
5450 POWER INN RD STE B, SACRAMENTO, CA 95820-6749
(916) 361-2089
(916) 388-9273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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