Individual
BIANCA PORRAS LAURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
477 23RD ST, OGDEN, UT 84401-1507
(801) 399-7250
Mailing address
477 23RD ST, OGDEN, UT 84401-1507
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
13164166-3102
UT
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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