Mirna Liseth Portillo
NPI #1568121903 in Lynn, Massachusetts
Provider Information
- NPI Number
- 1568121903
- Entity Type
- Individual
- Name
- Mirna Liseth Portillo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Dec 13, 2021
- Last Updated
- Dec 13, 2021
Practice Location
- Address
- 200 S COMMON ST
- City
- Lynn
- State
- Massachusetts
- ZIP Code
- 01905-2453
- Phone
- (781) 592-1470
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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