Individual
JOCELYN DANIELLE PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2219 MOUNTAIN AVE, DUARTE, CA 91010-3556
(626) 827-1282
Mailing address
2219 MOUNTAIN AVE, DUARTE, CA 91010-3556
(626) 827-1282
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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