Individual
PORTIA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 BRYAN PL SE, WASHINGTON, DC 20020-4417
(559) 475-2848
Mailing address
3145 SCOTT DR SW, BOLLING AFB, DC 20032-7680
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN200001705
DC
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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