Individual
MRS. PREETHI S HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11520 HALEIWA PL, DIAMONDHEAD, MS 39525-4133
(228) 332-1502
Mailing address
11520 HALEIWA PL, DIAMONDHEAD, MS 39525-4133
(228) 332-1502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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