Individual
ALISSA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
32321 HIDDEN ACRE DR, FRANKFORD, DE 19945-3115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0050689
DE
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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