person
Adrian Leonardo Portillo
Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah
NPI 1619657343

Adrian Leonardo Portillo is a Student in an Organized Health Care Education/Training Program based in West Valley City, UT. Adrian Leonardo Portillo practices in Salt Lake City, UT. The NPI Number for Adrian Leonardo Portillo is 1619657343 and holds a License No. (Utah).

The current practice location address for Adrian Leonardo Portillo is 27 S Mario Capecchi Dr, Salt Lake City, UT and can be reached out via phone at 385-272-2161.

Location: 27 S Mario Capecchi Dr, Salt Lake City, UT, 84118-6060
person
Provider Profile Details
NPI Number
1619657343
Provider Name
Adrian Leonardo Portillo
Credential
Provider Entity Type
Individual
Gender
Male
Address
27 S Mario Capecchi Dr, Salt Lake City, UT, 84118-6060
Phone Number
385-272-2161
Fax Number
Provider Enumeration Date
07/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
27 S Mario Capecchi Dr
City
State
Zip
84112-5888
Phone Number
385-272-2161
Fax Number
person
Provider Business Mailing Address Details
Address
27 S Mario Capecchi Dr
City
State
Zip
84112-5888
Phone Number
385-272-2161
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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