Individual
VANESSA LYNN PORTOR
Active
Individual
VANESSA LYNN PORTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN129891
AZ
Other
Enumeration date
11/03/2014
Last updated
11/14/2014
Update your record
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