Ping Jin Porter

NPI 1053611509 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1053611509
Gender Female
Enumeration Date 11/01/2010
Last Updated 06/06/2016
Entity Type Individual
Active Over 6 years ago
Practice Location
1443 RICHMOND RD
CVS MINUTECLINIC
LYNDHURST OH, 44124-2449, US
Phone (866) 389-2727
Fax
Business Location
2577 BRIDGETON DR
HUDSON OH, 44236-1582, US
Phone
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Ohio
License Number COA.16346
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According to our database, Mrs. Ping Jin Porter NPI is 1053611509, taxonomy code is 363LF0000X and license number is COA.16346, license state is located at Ohio. Ping Jin Porter physically located at 1443 Richmond Rd, Lyndhurst OH, 44124-2449. NPI Number Ping Jin Porter has the Individual type.

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1053611509 NPI number is provided on an as is basis without warranty of any kind. 1053611509 is maintained by the National Plan & Provider Enumeration System. The contents of Ping Jin Porter are for informational purposes only.