Individual
ISABEL ARMENTA PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 S WOOD BLVD, GOODYEAR, AZ 85338-6914
(408) 781-7907
Mailing address
5768 BLOSSOM AVE, SAN JOSE, CA 95123-3207
(408) 781-7907
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-100130
AZ
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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