Demi Breanna Porter Garza Pena

NPI #1245754233 in Howell, Michigan

Provider Information

NPI Number: 1245754233
Entity Type: Individual
Name: Demi Breanna Porter Garza Pena
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Aug 1, 2017
Last Updated: Aug 1, 2017

Practice Location

Address: 5892 STERLING DR
City: Howell
State: Michigan
ZIP Code: 48843-8861
Phone: (623) 693-9600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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