Individual
BRITTANNY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
428 SUPERIOR ST, BELLEFONTAINE, OH 43311-2525
(937) 935-1267
Mailing address
428 SUPERIOR ST, BELLEFONTAINE, OH 43311-2525
(937) 935-1267
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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