MR. MANOLITO PORTILLO II
Peer Specialist
Active
Individual
NPI: 1932749157
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Peer Specialist | 175T00000X | Yes | - |
Frequently Asked Questions
NPI 1932749157 is the National Provider Identifier for MR. MANOLITO PORTILLO II, a Peer Specialist provider located in Lawton, OK. This NPI was enumerated on January 15, 2020.
MR. MANOLITO PORTILLO II practices at 8501 NW MADISCHE RD, Lawton, OK 73507.
Quick Facts
- NPI
- 1932749157
- Type
- Individual
- Enumerated
- Jan 15, 2020
- Last Updated
- Jan 15, 2020
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