Individual
LASHANDA K PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4758 WOODMERE BLVD, MONTGOMERY, AL 36106-3075
(334) 801-8203
Mailing address
4758 WOODMERE BLVD, MONTGOMERY, AL 36106-3075
(334) 801-8203
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
AL
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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