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Individual
MICHELLE PORCIUNCULA
Active
Individual
MICHELLE PORCIUNCULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
804875
CA
363LF0000X
Family Nurse Practitioner
Primary
95005617
CA
Other
Enumeration date
01/27/2017
Last updated
05/23/2024
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