Individual
HARRISON BLAKE HANSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3545 GRANDVIEW PKWY APT 301, BIRMINGHAM, AL 35243-2073
(678) 507-6443
Mailing address
3545 GRANDVIEW PKWY APT 301, BIRMINGHAM, AL 35243-2073
(678) 507-6443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-185336
AL
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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