Individual
ROSSALYN NICOLE PORTILLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-ASSISTANT
Contact information
Practice address
12157 JOSE CISNEROS DR, EL PASO, TX 79936-0205
(915) 252-6268
Mailing address
12157 JOSE CISNEROS DR, EL PASO, TX 79936-0205
(915) 252-6268
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
40944
TX
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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