Individual
PORTIA Y ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 7TH ST, WEST PALM BEACH, FL 33401-3848
(561) 313-4734
Mailing address
1124 7TH ST, WEST PALM BEACH, FL 33401-3848
(561) 313-4734
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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