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Individual
PAMELA A ALVA PORROA
Active
Individual
PAMELA A ALVA PORROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN433850
OH
363LF0000X
Family Nurse Practitioner
Primary
SP020743
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036877090001
—
PA
Enumeration date
12/04/2018
Last updated
08/25/2021
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