MR. Derrick Allen Porter

NPI #1760406938 in Springdale, Arkansas

Provider Information

NPI Number
1760406938
Entity Type
Individual
Name
MR. Derrick Allen Porter
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Jul 27, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
20188 W VANZANT RD
ZIP Code
72764-8978
Phone
(479) 263-1804

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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