Individual
DEBORAH PORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
142 5TH ST APT 9, SEAL BEACH, CA 90740-6189
(612) 501-0242
Mailing address
514 AMERICAS WAY # 13186, BOX ELDER, SD 57719-7600
(612) 501-0242
Taxonomy
Speciality
Code
Description
License number
State
163WF0300X
Flight Registered Nurse
Primary
R054165
SD
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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