Individual
JEN'BRICA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2352 E VILLAGE CT, GRETNA, LA 70056-4624
(504) 259-4225
Mailing address
2352 E VILLAGE CT, GRETNA, LA 70056-4624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
211013
LA
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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