Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TINA MARIE PORTA, COTAL
Active Sole ProprietorMRS. TINA MARIE PORTA, COTAL is a Contractor healthcare provider located in MACOMB, Michigan. NPI 1154647139 is currently active in the NPPES registry. Verify at CMS.
Contractor · MACOMB, MI
Registration Details
- NPI Number
- 1154647139
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 15, 2010 (16.343757484161 yrs)
- Last Updated
- Apr 15, 2010
- License
-
L1568305 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15618 ETON CT.MACOMB, MI, 48044Browse MI providers · Browse ZIP 48044
- Phone
- 5867919204
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.