Individual
JOSHUA PORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4555 WISCONSIN AVE NW, WASHINGTON, DC 20016-4619
(202) 537-1587
Mailing address
1212 4TH ST SE APT 631, WASHINGTON, DC 20003-3495
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100003048
DC
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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