Individual
MS. ANDREA DENYSE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3621 N KELLEY AVE STE 100, OKLAHOMA CITY, OK 73111-4520
(405) 524-5525
Mailing address
5225 COBLE ST, OKLAHOMA CITY, OK 73135-1511
(405) 881-9400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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