Individual
SHELBY ANN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 HARRIS ST, EUREKA, CA 95503-4416
(707) 443-8039
(707) 443-1281
Mailing address
411 HARRIS ST, EUREKA, CA 95503-4416
(707) 443-8039
(707) 443-1281
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
183832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183832
PHARMACY TECH ONLY
CA
Enumeration date
07/28/2022
Last updated
08/01/2022
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