Individual
MRS. ERICA PORTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3551 TOLLAND RD, SHAKER HEIGHTS, OH 44122-5138
(216) 848-0633
Mailing address
3551 TOLLAND RD, SHAKER HEIGHTS, OH 44122-5138
(216) 848-0633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN309426
OH
Other
Enumeration date
11/21/2008
Last updated
08/02/2010
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