Individual
DONNA LYNN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
870 GONZALEZ PARK DR, CANTONMENT, FL 32533-6118
(850) 712-7293
Mailing address
870 GONZALEZ PARK DR, CANTONMENT, FL 32533-6118
(850) 712-7293
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
100250276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109121300
—
FL
Enumeration date
05/18/2021
Last updated
05/21/2021
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