Individual
EMILY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 300-8898
Mailing address
1765 NORWOOD HEIGHTS LN, CERES, CA 95307-1869
(209) 205-6850
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
721098
CA
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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