Individual
MRS. LEEANN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9676 HAYLEE JADE CT, MISSOULA, MT 59808-8985
(406) 546-6621
Mailing address
9676 HAYLEE JADE CT, MISSOULA, MT 59808-8985
(406) 626-4622
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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