Individual
LOUELLA DELVON PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43935 ROAD 797, BROKEN BOW, NE 68822-6124
(308) 880-0335
Mailing address
43935 ROAD 797, BROKEN BOW, NE 68822-6124
(308) 880-0335
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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