Individual
MS. JUANESSA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(188) 888-0927
Mailing address
500 FAIRWAY DR, SUITE 102, DEERFIELD BEACH, FL 33441-1814
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
07/29/2019
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