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PORTIA SHORE, NURSE PRACTITIONER
NURSE PRACTITIONER
NPI: 1386274819IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
95013736(CA)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2019
Contact & Hours
- Address
- 18370 BURBANK BLVD STE 514
TARZANA, CA 91356 - Phone
- (818) 776-0660
Quick Facts
- NPI
- 1386274819
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 7
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