person
Mack Porter JR., RN
Adult Psychiatric/Mental Health Registered Nurse in Cerritos, California
NPI 1912568841

Mack Porter JR. is an Adult Psychiatric/Mental Health Registered Nurse based in Cerritos, CA and is specialized in Psychiatric/Mental Health, Adult. Mack Porter JR. practices in Cerritos, CA and has the professional credentials of RN. The NPI Number for Mack Porter JR. is 1912568841 and holds a License No. 437831 (California).

The current practice location address for Mack Porter JR. is 10802 College Pl, Cerritos, CA and can be reached out via phone at 562-924-9581. You can also correspond with Mack Porter JR. through the mailing address at 10802 COLLEGE PL, CERRITOS, CA - 90703-1579 (mailing address contact number: 562-924-9581).

Location: 10802 College Pl, Cerritos, CA, 90703-1579
person
Provider Profile Details
NPI Number
1912568841
Provider Name
Mack Porter JR.
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
10802 College Pl, Cerritos, CA, 90703-1579
Phone Number
562-924-9581
Fax Number
Provider Enumeration Date
06/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10802 College Pl
City
State
Zip
90703-1579
Phone Number
562-924-9581
Fax Number
person
Provider Business Mailing Address Details
Address
10802 College Pl
City
State
Zip
90703-1579
Phone Number
562-924-9581
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
437831 (California)
Definition
Definition to come...
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