Individual
CORTREANA MAYO PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PDW
Contact information
Practice address
101 41ST ST NE APT 101, WASHINGTON, DC 20019-3325
(202) 909-5964
Mailing address
101 41ST ST NE APT 101, WASHINGTON, DC 20019-3325
(202) 909-5964
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
WA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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