Yesenia Portorreal, CNA
Home Health Aide in Orlando, FL. Individual provider (NPI-1).
NPI number1669948402
StatusActive
Last updated in NPPESOct 19, 2018
Details
- NPI
- 1669948402
- Entity type
- Individual (NPI-1)
- Name
- Yesenia Portorreal
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2018
- Last updated
- Oct 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | 154057 | FL | Yes |
Practice location
10326 Dylan St Apt 733Orlando, FL 32825-4822
Phone 407-860-7916
Mailing address
10326 Dylan St Apt 733Orlando, FL 32825-4822
Phone 407-860-7916
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