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Individual

LISSA DORSEY PORRATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
388 ZONA IND REPARADA 2, PONCE, PR 00716-2347
(787) 840-2575
Mailing address
PO BOX 7004, PONCE, PR 00732-7004
(787) 840-2575

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/14/2023
Last updated
06/14/2023
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Product
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