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Montez Porter

NPI 1568165629 · on the registry since 2023

Practice

Address
2823 N 36th St
Milwaukee, WI 53210
Phone
(414) 231-0644
Organisation at this address
House Of Sirenity Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
376G00000X
376G00000X
Also registered as
3747A0650X
Sex
Male
Record last updated
2023-03-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin