Individual
MR. DIEGO PORRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 CURRY RD, CRANSTON, RI 02920-2111
(401) 648-1143
Mailing address
107 CURRY RD, CRANSTON, RI 02920-2111
(401) 648-1143
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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