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Rosa Portillo
NPI 1164780912 · on the registry since 2012
Practice
- Address
- 13001 Mirage Rd
Victorville, CA 92392 - Phone
- (760) 241-3800
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California