Individual provider · Type 1 NPI

Nicole Manuela Portue

Student in an Organized Health Care Education/Training Program · Oceanside, CA

NPI number 1659936268 Active

Practice location

1100 Sportfisher Dr
Oceanside, CA 92054-2550

Call (670) 276-0439 Map

Mailing address

7405 Charmant Dr Unit 2204
San Diego, CA 92122-5011

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1659936268

Nicole Manuela Portue's National Provider Identifier is 1659936268, issued on May 8, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oceanside, CA. The record was last updated on Jun 21, 2019.