LATISHIA PORTER

SAINT LOUIS, MO
NPI1174888333
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Additional Taxonomies372600000X Adult Companion
374U00000X Home Health Aide
Enumeration Date2012-07-12
Last Update Date2012-07-12
Business Address
-- LATISHIA PORTER
8936 MAYFIELD CT
SAINT LOUIS, MO 63136-5054
Phone number: 314-724-5460
Mailing Address
-- LATISHIA PORTER
8936 MAYFIELD CT
SAINT LOUIS, MO 63136-5054
Phone number: 314-724-5460