Clyde D Portis

NPI #1699599035 in Hornbeck, Louisiana

Provider Information

NPI Number: 1699599035
Entity Type: Individual
Name: Clyde D Portis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Lodging
Enumeration Date: Nov 12, 2024
Last Updated: Nov 12, 2024

Practice Location

Address: 377 CHARLES MILLER RD
City: Hornbeck
State: Louisiana
ZIP Code: 71439-1610
Phone: (346) 435-4892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Lodging	177F00000X	Primary

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