Individual
MRS. DAWN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1256 US ROUTE ONE, AMITY, ME 04471-5228
(207) 532-6254
Mailing address
1256 US ROUTE ONE, AMITY, ME 04471-5228
(207) 532-6254
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101400000
—
ME
Enumeration date
12/21/2009
Last updated
12/21/2009
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