person
Sofia Mabel Canete Portillo
Student in an Organized Health Care Education/Training Program in Birmingham, Alabama
NPI 1720729858

Sofia Mabel Canete Portillo is a Student in an Organized Health Care Education/Training Program based in Birmingham, AL. Sofia Mabel Canete Portillo practices in Birmingham, AL. The NPI Number for Sofia Mabel Canete Portillo is 1720729858 and holds a License No. (Alabama).

The current practice location address for Sofia Mabel Canete Portillo is 619 19Th St S, Birmingham, AL and can be reached out via phone at 205-934-4060.

Location: 619 19Th St S, Birmingham, AL, 35233-1900
person
Provider Profile Details
NPI Number
1720729858
Provider Name
Sofia Mabel Canete Portillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
619 19Th St S, Birmingham, AL, 35233-1900
Phone Number
205-934-4060
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
619 19Th St S
City
State
Zip
35233-1900
Phone Number
205-934-4060
Fax Number
person
Provider Business Mailing Address Details
Address
619 19Th St S
City
State
Zip
35233-1900
Phone Number
205-934-4060
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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