Individual
DANIELLE PORTALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4628 WATERDALE CT, RIVERSIDE, CA 92505-5128
(951) 236-0228
Mailing address
4628 WATERDALE CT, RIVERSIDE, CA 92505-5128
(951) 236-0228
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
784264
CA
Other
Enumeration date
09/08/2018
Last updated
09/08/2018
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