Individual
MISS DION PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3209 N HOLTON ST, MILWAUKEE, WI 53212-2126
(414) 324-7383
Mailing address
3209 N HOLTON ST, MILWAUKEE, WI 53212-2126
(414) 324-7383
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
175110-030
WI
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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