Individual
ELENA MARIE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1129 MELLOW LN, SIMI VALLEY, CA 93065-5704
(805) 750-9161
Mailing address
1129 MELLOW LN, SIMI VALLEY, CA 93065-5704
(805) 750-9161
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-31635
CA
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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