Individual
CHARLYNN RENEE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 AQUILLA DR, NEW CASTLE, DE 19720-1301
(302) 428-1964
(302) 295-9988
Mailing address
25 AQUILLA DR, NEW CASTLE, DE 19720-1301
(302) 428-1964
(302) 295-9988
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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