Individual
TARIOUS CLAUDE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17321 TELEGRAPH RD, DETROIT, MI 48219-3132
(313) 531-2500
Mailing address
2958 WEBB ST, DETROIT, MI 48206-1450
(313) 949-1122
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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