Individual
SARA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
14955 STATE ROAD 23, GRANGER, IN 46530-7564
(574) 277-0221
Mailing address
52280 PRIMROSE RD, SOUTH BEND, IN 46628-9637
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
24007627A
IN
Other
Enumeration date
07/12/2014
Last updated
07/12/2014
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