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Elissa Port
Student in an Organized Health Care Education/Training Program in Pomona, California
NPI 1831890706

Elissa Port is a Student in an Organized Health Care Education/Training Program based in Pomona, CA. Elissa Port practices in Pomona, CA. The NPI Number for Elissa Port is 1831890706 and holds a License No. (California).

The current practice location address for Elissa Port is 309 E 2Nd St, Pomona, CA and can be reached out via phone at 909-623-6116.

Location: 309 E 2Nd St, Pomona, CA, 91766-1854
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831890706
Provider Name
Elissa Port
Credential
Provider Entity Type
Individual
Gender
Female
Address
309 E 2Nd St, Pomona, CA, 91766-1854
Phone Number
909-623-6116
Fax Number
Provider Enumeration Date
03/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
309 E 2Nd St
City
Pomona
State
California
Zip
91766-1854
Phone Number
909-623-6116
Fax Number
person
Provider Business Mailing Address Details
Address
309 E 2Nd St
City
Pomona
State
California
Zip
91766-1854
Phone Number
909-623-6116
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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