Brenda Jacqueline Portillo Salazar, RN
Registered Nurse in San Diego, CA. Individual provider (NPI-1).
NPI number1831844596
StatusActive
Last updated in NPPESFeb 21, 2022
Details
- NPI
- 1831844596
- Entity type
- Individual (NPI-1)
- Name
- Brenda Jacqueline Portillo Salazar
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2022
- Certification date
- Feb 21, 2022
- Last updated
- Feb 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 95235179 | CA | Yes |
Practice location
3934 Murphy Canyon Rd Ste B201San Diego, CA 92123-4425
Phone 619-577-4074
Mailing address
3934 Murphy Canyon Rd Ste B201San Diego, CA 92123-4425
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