Portia Brooks

NPI #1033356498 in Fort Campbell, Kentucky

Provider Information

NPI Number
1033356498
Entity Type
Individual
Name
Portia Brooks
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jan 7, 2009
Last Updated
Jan 7, 2009

Practice Location

Address
650 JOEL DR
Address 2
BLANCHFIELD--WPCC
ZIP Code
42223-5318
Phone
(270) 798-0257

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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