Individual
MILISSA A PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 861-3451
Mailing address
6123 E 137TH AVE, THORNTON, CO 80602-6939
(303) 984-1812
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014899
KAISER-COMMERCIAL NUMBER
—
Enumeration date
04/19/2007
Last updated
07/08/2007
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