Individual
PORSHA YVETTE HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9700
Mailing address
1795 SAINT ANTHONY LN, FLORISSANT, MO 63033-6244
(404) 421-0314
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
MO026668801978
MO
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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