Individual
PORTIA WOFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
227 PEACHTREE ST APT 1, ROANOKE, AL 36274-7414
(334) 452-1277
Mailing address
227 PEACHTREE ST APT 1, ROANOKE, AL 36274-7414
(334) 452-1277
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-061549
AL
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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