Individual
PIER PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 BLUE GULL ST, NORTH LAS VEGAS, NV 89032-6600
(702) 418-5803
Mailing address
3901 BLUE GULL ST, NORTH LAS VEGAS, NV 89032-6600
(702) 418-5803
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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