CHARLES FREDRICK PORTER

GLENDALE, AZ
NPI1699467175
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-05-23
Last Update Date2023-05-23
Business Address
CHARLES FREDRICK PORTER
4480 W PEORIA AVE
GLENDALE, AZ 85302-2038
Phone number: 702-807-8670
Mailing Address
CHARLES FREDRICK PORTER
8232 OCEAN TERRACE WAY
LAS VEGAS, NV 89128-7457
Phone number: 602-400-0231
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