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Individual

TASHA EAUR PORTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3439 DIAL ST, WHISTLER, AL 36612-1629
(251) 767-6215
Mailing address
5850 REAMS DR S, MOBILE, AL 36608-3651
(251) 767-6215
(251) 767-6215

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
05/05/2025
Last updated
05/05/2025
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