Individual
VICTORIA A PORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5301 E HURON RIVER DR, MC 69504, YPSILANTI, MI 48197-1051
(734) 712-2419
Mailing address
5301 E HURON RIVER DR, MC 69504, YPSILANTI, MI 48197-1051
(734) 712-2419
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704235858
MI
Other
Enumeration date
01/16/2007
Last updated
04/24/2014
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