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Estacio L Portela

Student in an Organized Health Care Education/Training Program in Framingham, MA. Individual provider (NPI-1).

NPI number1801418652
StatusActive
Last updated in NPPESMay 15, 2020

Details

NPI
1801418652
Entity type
Individual (NPI-1)
Name
Estacio L Portela
Sex
Male
Sole proprietor
No
Enumeration date
May 15, 2020
Certification date
May 15, 2020
Last updated
May 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

354 Waverley St
Framingham, MA 01702-7079

Phone 508-485-9300

Mailing address

354 Waverley St
Framingham, MA 01702-7079

Phone 508-485-9300

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