Individual
MS. PRECIOUS FAITH HASANON PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9261 W VAN BUREN ST, TOLLESON, AZ 85353-2941
(623) 936-9740
(623) 907-5187
Mailing address
9261 W VAN BUREN ST, TOLLESON, AZ 85353-2941
(623) 936-9740
(623) 907-5187
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN153334
AZ
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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