Individual
DELILAH K PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 IRON GATE TRL SW, ALBUQUERQUE, NM 87121-4254
(505) 433-7159
Mailing address
10511 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5916
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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