Individual
PERMERIEA HARRIS-AGYEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
283 E SHUEY AVE, MACCLENNY, FL 32063-2145
(904) 428-3632
Mailing address
283 E SHUEY AVE, MACCLENNY, FL 32063-2145
(904) 428-3632
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9231625
FL
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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