Individual
ROSALYN IOLA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1421 BLUFF RD, COLUMBIA, SC 29201-4809
(800) 805-6989
Mailing address
102 VISTA WAY, WEST COLUMBIA, SC 29170-3054
(803) 521-8228
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
50919
SC
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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