Porsha Daniele

NPI #1154951762 in Joint Base Lewis Mcchord, Washington

Provider Information

NPI Number: 1154951762
Entity Type: Individual
Name: Porsha Daniele
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jan 22, 2020
Last Updated: Jan 22, 2020

Practice Location

Address: 5020 VANDERPOOL CT
City: Joint Base Lewis Mcchord
State: Washington
ZIP Code: 98433-1157
Phone: (941) 380-5427

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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