MISTY D PORTER

JACKSONVILLE, FL
NPI1740511823
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-01-29
Last Update Date2010-01-29
Business Address
-- MISTY D PORTER B.A.
910 N JEFFERSON ST
JACKSONVILLE, FL 32209-6810
Phone number: 904-360-7022
Mailing Address
-- MISTY D PORTER B.A.
431 SHAMROCK RD
ST AUGUSTINE, FL 32086-6561
Phone number: 904-360-7022