Individual
MS. NICOLE PORTWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
670 W ARAPAHO RD STE 5, RICHARDSON, TX 75080-4213
(469) 900-6141
Mailing address
670 W ARAPAHO RD STE 5, RICHARDSON, TX 75080-4213
(469) 600-4161
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
08/11/2021
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