Nicole Lynne Portis

NPI #1609628361 in Cuyahoga Falls, Ohio

Provider Information

NPI Number: 1609628361
Entity Type: Individual
Name: Nicole Lynne Portis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Apr 4, 2024
Last Updated: Apr 4, 2024

Practice Location

Address: 1080 TALLMADGE RD
City: Cuyahoga Falls
State: Ohio
ZIP Code: 44221-5152
Phone: (330) 907-6240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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