MR. Job Portillo Lopez, FNP

NPI #1871565796 in Indio, California

Provider Information

NPI Number
1871565796
Entity Type
Individual
Name
MR. Job Portillo Lopez, FNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Feb 3, 2006
Last Updated
Aug 17, 2023

Practice Location

Address
81767 DR CARREON BLVD STE 102
City
Indio
ZIP Code
92201-5598
Phone
(760) 863-5355

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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