Individual
ANDREA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 SPINK ST, WOOSTER, OH 44691-3653
(330) 988-8988
Mailing address
205 SPINK ST, WOOSTER, OH 44691-3653
(330) 988-8988
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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