Individual
NICOLE LYNNE PORTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1080 TALLMADGE RD, CUYAHOGA FALLS, OH 44221-5152
(330) 907-6240
Mailing address
1080 TALLMADGE RD, CUYAHOGA FALLS, OH 44221-5152
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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