NPI 1457520751
Veronica Mary Portrait, MAITFS
Practice location
- Address
- 4201 Lake Boone Trail Suite 4, Raleigh, NC 27607-7511
- Phone
- (919) 781-4434
- Fax
- (919) 781-5851
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1457520751
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Feb 2008
- Record last updated
- 21 Feb 2008
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.