Individual
ALISSA PORTENIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
5735 MAGELLAN WAY APT 201, RALEIGH, NC 27612-2274
(919) 225-9339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5013555
NC
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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