Individual
DAWN ELYSE PORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
1125 W 6TH ST, LOS ANGELES, CA 90017-1833
(213) 202-3970
Mailing address
120 19TH ST, MANHATTAN BEACH, CA 90266-4509
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
221093
CA
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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