Individual
ANGELA PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 W OAKEY BLVD STE 101, LAS VEGAS, NV 89102-1506
(702) 906-1999
(702) 906-1998
Mailing address
436 N 13TH ST APT A, LAS VEGAS, NV 89101-3265
(702) 480-1781
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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