Mychal Earvin Portugal Grepo Valid NPI

Individual provider · Registered Nurse · Orange, CA

NPI

1548159064

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

95394204 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2025-06-30

Last updated

2025-06-30