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CHRISTINA PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3043 STATE ROUTE 4, HUDSON FALLS, NY 12839-9632
(518) 747-2284
Mailing address
3043 STATE ROUTE 4, HUDSON FALLS, NY 12839-9632
(518) 747-2284

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
240969
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00240969
NY
Enumeration date
01/18/2019
Last updated
01/18/2019
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