Veronica Mary Portrait, MA ITFS
Community Health Worker in Raleigh, NC. Individual provider (NPI-1).
NPI number1457520751
StatusActive
Last updated in NPPESFeb 21, 2008
Details
- NPI
- 1457520751
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Veronica Mary Portrait
- Credential
- MA ITFS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2008
- Last updated
- Feb 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
4201 Lake Boone TrailSuite 4
Raleigh, NC 27607-7511
Phone 919-781-4434 · Fax 919-781-5851
Mailing address
4201 Lake Boone TrailSuite 4
Raleigh, NC 27607-7511
Phone 919-781-4434 · Fax 919-781-5851
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