Individual
JUDY PORAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 ASHBY AVE STE 104, BERKELEY, CA 94705-2439
(510) 540-8687
Mailing address
3030 ASHBY AVE STE 104, BERKELEY, CA 94705-2439
(510) 540-8687
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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