Wendy Carol Ports

NPI #1134328271 in Shirley, New York

Provider Information

NPI Number
1134328271
Entity Type
Individual
Name
Wendy Carol Ports
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jul 17, 2007
Last Updated
Jul 17, 2007

Practice Location

Address
243 W END AVE
ZIP Code
11967-1606
Phone
(631) 772-4871

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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