Individual
ELLEN ANNE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
5007 HOLDER AVE, BALTIMORE, MD 21214-3013
(410) 404-5019
Mailing address
5007 HOLDER AVE, BALTIMORE, MD 21214-3013
(410) 404-5019
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01566
MD
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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