Individual
AMELLE JOSEPH BAPTISTE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3828 DELMAS TER, CULVER CITY, CA 90232-2713
(323) 404-7410
Mailing address
5330 SUNLIGHT PL, LOS ANGELES, CA 90016-5124
(323) 404-7410
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
95013219
CA
Other
Enumeration date
11/13/2019
Last updated
11/27/2023
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