Individual
VITAELOLA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1038 W 122ND ST, LOS ANGELES, CA 90044-2924
(310) 936-8638
Mailing address
1038 W 122ND ST, LOS ANGELES, CA 90044-2924
(310) 936-8638
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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