Individual
MRS. THERESA DENISE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11515 ADAMS DR, CATLETTSBURG, KY 41129-9700
(606) 929-4118
(606) 929-4392
Mailing address
11515 ADAMS DR, CATLETTSBURG, KY 41129-9700
(606) 929-4118
(606) 929-4392
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009469
KY
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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