Portia Ofori Shore, NURSE PRACTITIONER
NPI #1386274819 in Tarzana, California
Provider Information
- NPI Number
- 1386274819
- Entity Type
- Individual
- Name
- Portia Ofori Shore, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Jan 23, 2020
- Last Updated
- Oct 25, 2021
Practice Location
- Address
- 18370 BURBANK BLVD STE 514
- City
- Tarzana
- State
- California
- ZIP Code
- 91356-2837
- Phone
- (818) 776-0660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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