Individual
IESHA MARIE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11990 JACKSON ST, CLINTON, LA 70722-3210
(225) 683-5292
Mailing address
2547 MIDDLETOWNE DR, ZACHARY, LA 70791-2873
(225) 480-8471
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
157020
LA
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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