NPI 1043627912

Sonia Porter

Practitioner Prevention Professional Milwaukee, WI

Practice location

Address: 5151 W Silver Spring Dr, Milwaukee, WI 53218-3300
Phone: (414) 527-6970

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 17192 (WI)

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Registry record

NPI: 1043627912
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2014
Record last updated: 27 Apr 2017

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.