PORTIA OFORI SHORE

TARZANA, CA
NPI1386274819
Former NamePORTIA OFORIAMPOFO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95013736)
Enumeration Date2020-01-23
Last Update Date2021-10-25
Business Address
PORTIA OFORI SHORE Nurse Practitioner
18370 BURBANK BLVD STE 514
TARZANA, CA 91356-2837
Phone number: 818-776-0660
Mailing Address
PORTIA OFORI SHORE Nurse Practitioner
17328 VENTURA BLVD # 108
ENCINO, CA 91316-3904
Phone number: