Individual
NANCY ELIZABETH PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7522 WILHELM DR, LANHAM, MD 20706-3752
(240) 706-0044
Mailing address
7522 WILHELM DR, LANHAM, MD 20706-3752
(240) 706-0044
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00195351
MD
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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