Individual
ARETTA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 SOUTH COURT STREET, HARRISVILLE, WV 26362
(304) 643-4941
(304) 643-4936
Mailing address
1908 CISCO RD, CAIRO, WV 26337-6736
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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