Individual
KENYA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 SW 24TH AVE APT 515, OCALA, FL 34471-7821
(347) 677-4517
Mailing address
3001 SW 24TH AVE APT 515, OCALA, FL 34471-7821
(347) 677-4517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9508424
FL
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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