Individual
MS. ELIZABETH PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
28765 SINGLE OAK DR, SUITE # 125, TEMECULA, CA 92590-3661
(951) 552-1126
Mailing address
28765 SINGLE OAK DR, SUITE # 125, TEMECULA, CA 92590-3661
(951) 552-1126
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12447
CA
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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