Individual
MRS. VERONICA MARY PORTRAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA ITFS
Contact information
Practice address
4201 LAKE BOONE TRAIL, SUITE 4, RALEIGH, NC 27607-7511
(919) 781-4434
(919) 781-5851
Mailing address
4201 LAKE BOONE TRAIL, SUITE 4, RALEIGH, NC 27607-7511
(919) 781-4434
(919) 781-5851
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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