Individual
CAROLINE LEIGH PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(301) 951-2400
Mailing address
20 RIDGE SQ NW APT 249, WASHINGTON, DC 20016-2979
(336) 409-4787
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTL500001960
—
DC
Enumeration date
06/17/2019
Last updated
12/17/2024
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