JOHN KEVIN PORTER

MATHER, CA
NPI1336722206
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  198010)
Enumeration Date2021-04-29
Last Update Date2021-04-29
Business Address
JOHN KEVIN PORTER
10535 HOSPITAL WAY
MATHER, CA 95655-4200
Phone number: 916-843-9166
Mailing Address
JOHN KEVIN PORTER
10535 HOSPITAL WAY
MATHER, CA 95655-4200
Phone number: 916-843-9166