Individual
TAMRA DANIELLE PORTALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DAOM
Contact information
Practice address
255 HOPE ST, PROVIDENCE, RI 02906-2261
(603) 557-5237
Mailing address
20 BLACKSTONE BLVD APT 14, PROVIDENCE, RI 02906-5448
(603) 557-5237
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
DAOM00093
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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