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Shavondah Porter
NPI 1437478609 · on the registry since 2010 · sole proprietor
Practice
- Address
- 6714 Etzel Ave
Saint Louis, MO 63130 - Phone
- (314) 941-2705
- Fax
- (314) 769-9717
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Sex
- Female
- Record last updated
- 2010-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri