Individual
BRENDA JACQUELINE PORTILLO SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3934 MURPHY CANYON RD STE B201, SAN DIEGO, CA 92123-4425
(619) 577-4074
Mailing address
3934 MURPHY CANYON RD STE B201, SAN DIEGO, CA 92123-4425
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95235179
CA
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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