Individual
MR. GILES PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 ENEA CIR STE 200, CONCORD, CA 94520-7955
(925) 849-3113
(925) 685-0377
Mailing address
1450 ENEA CIR STE 200, CONCORD, CA 94520-7955
(925) 849-3113
(925) 685-0377
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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