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Individual

MAURICE PORTER SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
827 PINE ST APT 70, WEST SACRAMENTO, CA 95691-2917
(916) 821-1447
(916) 942-9597
Mailing address
827 PINE ST APT 70, WEST SACRAMENTO, CA 95691-2917
(916) 821-1447
(916) 942-9597

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
TCP38035
CA

Other

Enumeration date
10/26/2018
Last updated
10/26/2018
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