Individual
DHARANA PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 MARKET ST, SAN FRANCISCO, CA 94102-6228
(415) 476-3902
(415) 476-3655
Mailing address
1930 MARKET ST, SAN FRANCISCO, CA 94102-6228
(415) 476-3902
(415) 476-3655
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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