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PORTIA Y ADDISON
>> Homemaker >> Nursing Service Related ProvidersRegistrant NPI Number: 1861002784
Individual Registrant: PORTIA Y ADDISON
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1124 7TH ST WEST PALM BEACH, FL 33401-3848 US
Tel: 561-313-4734 Fax: --
Tel: 561-313-4734 Fax: --
Contact information for business:
1124 7TH ST WEST PALM BEACH, FL 33401-3848 US
Tel: 561-313-4734 Fax: --
Tel: 561-313-4734 Fax: --
Registration Information:
NPI: 1861002784
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 376J00000X | Nursing Service Related Providers Homemaker |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
