Individual
MISTY DAWN HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3835 VIEWCREST DR APT D, MEDFORD, OR 97504-7220
(541) 499-7406
Mailing address
3835 VIEWCREST DR APT D, MEDFORD, OR 97504-7220
(541) 499-7406
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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