Individual
ALICIA PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1155 CHEROKEE ST, DENVER, CO 80204-3632
(303) 263-1554
Mailing address
1155 CHEROKEE ST, DENVER, CO 80204-3632
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
0187862
CO
Other
Enumeration date
07/01/2018
Last updated
07/01/2018
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