Individual
MRS. AMBER L HARRIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
325 SPRING STREET, RED BUD, IL 62278
(618) 282-3831
(618) 282-5476
Mailing address
325 SPRING ST, RED BUD, IL 62278
(618) 282-3831
(618) 282-5476
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003052
IL
Other
Enumeration date
10/04/2007
Last updated
08/19/2021
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