Individual
WHITNEY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 MANOR WAY, BUXTON, ME 04093-6448
(207) 929-6119
Mailing address
9 MANOR WAY, BUXTON, ME 04093-6448
(207) 929-6119
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT530
ME
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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