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Individual

ANNETTE N/A PORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(610) 834-1122
(610) 834-7525
Mailing address
2250 HICKORY ROAD, SUITE 240, PLYMOUTH MEETING, PA 19462
(610) 834-1122
(610) 834-7525

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
9901951
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9901951
NURSE AIDE
PA
Enumeration date
09/18/2007
Last updated
09/18/2007
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