| The Porto Group, Llc | |
|
2646 Glengyle Dr Vienna VA 22181-5532 | |
| (703) 470-1202 | |
| Not Available |
| Full Name | The Porto Group, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2646 Glengyle Dr, Vienna, Virginia |
| Authorized Official Name and Position | Ana Porto (OWNER) |
| Authorized Official Contact | 7034701202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Porto Group, Llc Po Box 220043 Chantilly VA 20153-0043 Ph: (703) 470-1202 | The Porto Group, Llc 2646 Glengyle Dr Vienna VA 22181-5532 Ph: (703) 470-1202 |
| NPI Number | 1013295609 |
|---|---|
| Provider Enumeration Date | 07/29/2011 |
| Last Update Date | 07/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013295609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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