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Individual

MRS. CHRISTINE M PORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, RN, CCRN

Contact information

Practice address
2797 AUTUMN BREEZE WAY, KISSIMMEE, FL 34744-9274
(646) 523-3048
Mailing address
2797 AUTUMN BREEZE WAY, KISSIMMEE, FL 34744-9274
(646) 523-3048

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
631783
NY
163W00000X
Registered Nurse
Primary
RN9359575
FL

Other

Enumeration date
02/25/2021
Last updated
02/25/2021
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