Individual
HEATHER ELIZABETH MACHEN-PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
233 BASELINE RD, LA VERNE, CA 91750-2353
(909) 593-2581
Mailing address
233 BASELINE RD, LA VERNE, CA 91750-2353
(909) 593-2581
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN286826
CA
Other
Enumeration date
09/24/2024
Last updated
10/22/2024
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