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Individual

LATANYA RENEE PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14711 MAIN ST # B, UPPER MARLBORO, MD 20772-3014
(240) 339-1231
Mailing address
14711 MAIN ST # B, UPPER MARLBORO, MD 20772-3014
(240) 339-1231

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary

Other

Enumeration date
06/30/2025
Last updated
06/30/2025
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