Individual
DESTINY HARRIS SIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 S ACADIAN THRUWAY, BATON ROUGE, LA 70806-6900
(225) 831-4998
(225) 831-4997
Mailing address
1200 S ACADIAN THRUWAY, BATON ROUGE, LA 70806-6900
(225) 831-4998
(225) 831-4997
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
813855797
—
LA
Enumeration date
06/25/2021
Last updated
06/25/2021
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