Individual
TASHA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
6057 MAJORS LN, APT. 3, COLUMBIA, MD 21045-4140
(410) 460-0845
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00091414
MD
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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