Individual
MS. KAREN ERLENE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
299 KINGDOM RD., VERSHIRE, VT 05079
(802) 333-4074
Mailing address
BOX 73, VERSHIRE, VT 05079-0073
(802) 333-4074
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
025.0009224
VT
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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