person
Mr. Job Portillo Lopez, FNP
Family Nurse Practitioner in Indio, California
NPI 1871565796

Job Portillo Lopez is a Family Nurse Practitioner based in Indio, CA and is specialized in Family. Job Portillo Lopez practices in Indio, CA and has the professional credentials of FNP. The NPI Number for Job Portillo Lopez is 1871565796 and holds a License No. NPF9223 RN643640 (California).

The current practice location address for Job Portillo Lopez is 81767 Dr Carreon Blvd Ste 102, Indio, CA and can be reached out via phone at 760-863-5355 and via fax at 760-863-5885.

Location: 81767 Dr Carreon Blvd Ste 102, Indio, CA, 92201-8478
person
Provider Profile Details
NPI Number
1871565796
Provider Name
Job Portillo Lopez
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
81767 Dr Carreon Blvd Ste 102, Indio, CA, 92201-8478
Phone Number
760-863-5355
Fax Number
760-863-5885
Provider Enumeration Date
02/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
81767 Dr Carreon Blvd Ste 102
City
State
Zip
92201-5598
Phone Number
760-863-5355
Fax Number
760-863-5885
person
Provider Business Mailing Address Details
Address
81767 Dr Carreon Blvd Ste 102
City
State
Zip
92201-5598
Phone Number
760-863-5355
Fax Number
760-863-5885
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NPF9223 RN643640 (California)
Definition
Definition to come...
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