Individual
DR. LISA M PORTERA-PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1299 NEWELL HILL PL STE 102, WALNUT CREEK, CA 94596-5230
(925) 683-8478
Mailing address
1299 NEWELL HILL PL STE 102, WALNUT CREEK, CA 94596-5230
(925) 683-8478
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CA16815
CA
Other
Enumeration date
10/17/2010
Last updated
10/17/2010
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