SearchCalifornia164X00000X

Kalashai Porter

NPI 1821470154 · on the registry since 2015 · sole proprietor

Practice

Address
1639 Barcelona Ave
Stockton, CA 95209
Phone
(209) 603-9683

Registry record

Primary taxonomy
164X00000X
164X00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-06-23

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 California