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Individual

PATRICE LASHAE PORTERFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7000 SPRING MOUNTAIN RD, LAS VEGAS, NV 89117-3816
(702) 873-2400
Mailing address
4636 SPITFIRE ST, LAS VEGAS, NV 89115-2542
(702) 787-9356

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary

Other

Enumeration date
08/17/2020
Last updated
08/17/2020
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