Individual
PORTIA NICHOLE SCHILTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 HASKELL ST, TRIBUNE, KS 67879-9688
(620) 635-0129
Mailing address
516 HASKELL ST, TRIBUNE, KS 67879-9688
(620) 635-0129
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/21/2024
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