Individual
ENOLA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN,CM/DN
Contact information
Practice address
9952 SW GLENBROOK DR, PORT SAINT LUCIE, FL 34987-2412
(443) 876-8023
Mailing address
9952 SW GLENBROOK DR, PORT SAINT LUCIE, FL 34987-2412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R239370
MD
Other
Enumeration date
10/10/2022
Last updated
10/15/2022
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