Individual
MS. MARTINA JENKINS PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N, MPH
Contact information
Practice address
50100 GOLSH RD, VALLEY CENTER, CA 92082-5338
(760) 749-1410
(760) 749-4122
Mailing address
PO BOX 406, PAUMA VALLEY, CA 92061-0406
(760) 749-1410
(760) 749-4122
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
219534
CA
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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