Individual
RODEENA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
269 UNIOIN ST, LYNN, MA 01901
(781) 581-3900
(781) 598-1050
Mailing address
PO BOX 526, LYNN, MA 01903
(781) 596-2502
(781) 596-3966
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
110916
MA
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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