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Nicole Manuela Portue
Student in an Organized Health Care Education/Training Program in Oceanside, California
NPI 1659936268

Nicole Manuela Portue is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Nicole Manuela Portue practices in Oceanside, CA. The NPI Number for Nicole Manuela Portue is 1659936268 and holds a License No. (California).

The current practice location address for Nicole Manuela Portue is 1100 Sportfisher Dr, Oceanside, CA and can be reached out via phone at 670-276-0439.

Location: 1100 Sportfisher Dr, Oceanside, CA, 92122-5011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659936268
Provider Name
Nicole Manuela Portue
Credential
Provider Entity Type
Individual
Gender
Female
Address
1100 Sportfisher Dr, Oceanside, CA, 92122-5011
Phone Number
670-276-0439
Fax Number
Provider Enumeration Date
05/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 Sportfisher Dr
City
Oceanside
State
California
Zip
92054-2550
Phone Number
670-276-0439
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Sportfisher Dr
City
Oceanside
State
California
Zip
92054-2550
Phone Number
670-276-0439
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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