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Individual

DR. CARLA JEAN PORTER-PURSNANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
5082
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00355931
NY
05
02275712
NY
Enumeration date
06/06/2006
Last updated
10/02/2025
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