Individual
KRISTINA HERRERA PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
11075 S STATE ST STE 11B, SANDY, UT 84070-5190
(801) 871-5652
Mailing address
11075 S STATE ST STE 11B, SANDY, UT 84070-5190
(801) 871-5652
(888) 505-5245
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
33303
CA
111N00000X
Chiropractor
Primary
9537864-1202
UT
Other
Enumeration date
09/14/2015
Last updated
07/02/2020
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