Individual
AZIZARAE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1062 STATE AVE NE, MASSILLON, OH 44646-5879
(330) 224-3744
Mailing address
1062 STATE AVE NE, MASSILLON, OH 44646-5879
(330) 224-3744
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
UB535246
OH
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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