Individual
ELAINE B. PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61 SCARLET AVE, ASTON, PA 19014-2141
(484) 480-5650
(484) 480-5650
Mailing address
61 SCARLET AVE, ASTON, PA 19014-2925
(484) 480-5650
(484) 480-5650
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN267562
PA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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