MICHELLE A. PORTER

SANTA ROSA, CA
NPI1306900774
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  229156)
Additional Taxonomies163WC1500X Registered Nurse, Community Health
(Licence: CA  229156)
Enumeration Date2006-12-20
Last Update Date2014-08-18
Business Address
-- MICHELLE A. PORTER
625 5TH ST
SANTA ROSA, CA 95404-4428
Phone number: 707-565-6348
Mailing Address
-- MICHELLE A. PORTER
625 5TH ST
SANTA ROSA, CA 95404-4428
Phone number: