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1003967712
MICHELLE MISSY PORTEOUS
RIVERSIDE, CA
NPI
1003967712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 814382)
Enumeration Date
2007-01-16
Last Update Date
2013-09-03
Business Address
MRS. MICHELLE MISSY PORTEOUS MS, RD, CDE
11801 PIERCE ST SUITE 200
RIVERSIDE, CA 92505-4408
Phone number: 951-317-7657
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Mailing Address
MRS. MICHELLE MISSY PORTEOUS MS, RD, CDE
1275 CONESTOGA CIR
CORONA, CA 92881-8616
Phone number: 951-317-7657
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