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BONNIE FAYE PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 995-9292
Mailing address
9310 SPELLMAN RD, HOUSTON, TX 77031-2227
(832) 889-3795

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
155417
TX

Other

Enumeration date
02/21/2018
Last updated
02/21/2018
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