WENDY CAROL PORTS

SHIRLEY, NY
NPI1134328271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  00269213)
Enumeration Date2007-07-17
Last Update Date2007-07-17
Business Address
-- WENDY CAROL PORTS
243 W END AVE
SHIRLEY, NY 11967-1606
Phone number: 631-772-4871
Mailing Address
-- WENDY CAROL PORTS
243 W END AVE
SHIRLEY, NY 11967-1606
Phone number: