Individual
AUDIMAE ELIZABETH PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1322 6TH ST, CHARLESTON, WV 25302-1235
(304) 415-9255
Mailing address
1322 6TH ST, CHARLESTON, WV 25302-1235
(304) 415-9255
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
12/14/2022
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