Jackeline Portillo
NPI #1013620715 in Van Nuys, California
Provider Information
- NPI Number
- 1013620715
- Entity Type
- Individual
- Name
- Jackeline Portillo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Dec 28, 2022
- Last Updated
- Dec 28, 2022
Practice Location
- Address
- 7515 VAN NUYS BLVD
- City
- Van Nuys
- State
- California
- ZIP Code
- 91405-1949
- Phone
- (818) 627-3067
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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