TANEKA LAVETTE PORTER

ATLANTA, GA
NPI1629538780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN246860)
Enumeration Date2019-03-23
Last Update Date2021-08-17
Business Address
Mrs. TANEKA LAVETTE PORTER NP
381 PARDUCCI TRL
ATLANTA, GA 30349-8126
Phone number: 901-517-6256
Mailing Address
Mrs. TANEKA LAVETTE PORTER NP
381 PARDUCCI TRL
ATLANTA, GA 30349-8126
Phone number: 901-517-6256
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