Individual
KAREN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13994 MINOCK ST, DETROIT, MI 48223-2804
(313) 346-3720
Mailing address
13994 MINOCK ST, DETROIT, MI 48223-2804
(313) 346-3720
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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