Individual
EBONY G PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN NURSE
Contact information
Practice address
10324 MOONFLOWER CT, CINCINNATI, OH 45251-1105
(513) 370-6303
Mailing address
10324 MOONFLOWER CT, CINCINNATI, OH 45251-1105
(513) 370-6303
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
172408
OH
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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