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1124517099
PORTIA DANIELS
SANTA ROSA, CA
NPI
1124517099
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Other Name
PORTIA NERO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95022044)
Enumeration Date
2018-05-07
Last Update Date
2023-04-20
Business Address
PORTIA DANIELS RN, NP
2300 NORTHPOINT PKWY
SANTA ROSA, CA 95407-5004
Phone number: 707-224-8266
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Mailing Address
PORTIA DANIELS RN, NP
4820 BUSINESS CENTER DR
FAIRFIELD, CA 94534-1696
Phone number: 707-224-8266
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