Individual
CHRISTINE KING-PORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13556 SANTA ROSA DR, DETROIT, MI 48238-2534
(313) 914-8914
Mailing address
13556 SANTA ROSA DR, DETROIT, MI 48238-2534
(313) 914-8914
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
802348133
—
MI
Enumeration date
08/04/2019
Last updated
08/04/2019
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