Individual
MS. DORA-THEA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
150 MUIR RD, MARTINEZ, CA 94553-4668
(925) 372-2050
Mailing address
150 MUIR RD, MARTINEZ, CA 94553-4668
(925) 372-2050
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU139
CA
Other
Enumeration date
07/14/2006
Last updated
08/27/2007
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