NPI 1003967712

Michelle Missy Porteous, MSRDCDE

Practitioner Registered Dietitian Riverside, CA

Practice location

Address: 11801 Pierce St Suite 200, Riverside, CA 92505-4408
Phone: (951) 317-7657
Fax: (951) 278-8665
Mailing address: 1275 Conestoga Cir, Corona, CA 92881-8616

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 814382 (CA)

Other Dietitian, Registered providers in California →

Registry record

NPI: 1003967712
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2007
Record last updated: 3 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.