Individual
RILEY ELIZABETH PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 ALPINE BLVD, ALPINE, CA 91901-2113
(619) 445-2644
Mailing address
2120 ALPINE BLVD, ALPINE, CA 91901-2113
(619) 445-2644
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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