Individual
SHANICE FRANCINE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6602 MIRAMAR AVE, FORT PIERCE, FL 34951-2259
(313) 858-2320
Mailing address
6602 MIRAMAR AVE, FORT PIERCE, FL 34951-2259
(313) 858-2320
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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