Individual
DARLENE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 ADAIR CT, BAKERSFIELD, CA 93309
(702) 715-2670
Mailing address
3900 ADAIR CT, BAKERSFIELD, CA 93309
(702) 715-2670
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
157208770
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157208770
RESIDENTIAL CARE FACILITY ELDERLY
CA
Enumeration date
07/05/2017
Last updated
07/05/2017
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