Individual
HARRIET LYNN BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 NW 22ND TER, GAINESVILLE, FL 32605-2344
(325) 281-0963
(888) 817-9130
Mailing address
3525 NW 22ND TER, GAINESVILLE, FL 32605-2344
(325) 281-0963
(888) 817-9130
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
002407100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002407100
—
FL
Enumeration date
07/02/2012
Last updated
07/02/2012
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