Individual
LEAH PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
11438 BIRDIE RD, CONROE, TX 77303-2902
(936) 718-7329
Mailing address
11438 BIRDIE RD, CONROE, TX 77303-2902
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
338614
TX
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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