Individual
MRS. CHARLOTTE MILES PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9210 HANOVER CV, CONVERSE, TX 78109-2947
(210) 251-2922
Mailing address
9210 HANOVER CV, CONVERSE, TX 78109-2947
(210) 251-2922
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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