Individual
YESENIA PORTORREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
10326 DYLAN ST APT 733, ORLANDO, FL 32825-4822
(407) 860-7916
Mailing address
10326 DYLAN ST APT 733, ORLANDO, FL 32825-4822
(407) 860-7916
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
154057
FL
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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