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TASIA NADINE PORTER

Psychiatric/Mental Health >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1922616275

Individual Registrant:
 TASIA NADINE PORTER 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
652 NE 121ST ST  BISCAYNE PARK, FL 33161-5510 US
Tel: 240-416-5655  Fax: --

Contact information for business:
652 NE 121ST ST  BISCAYNE PARK, FL 33161-5510 US
Tel: 240-416-5655  Fax: --

Registration Information:
NPI: 1922616275
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WP0808XNursing Service Providers
Registered Nurse
Psychiatric/Mental Health
FL9426206

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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