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Individual

CARLY ELAINE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4494 NORTH PALMER ROAD, BETHESDA, MD 20889-0001
(804) 317-4541
Mailing address
148 LEBANON CHURCH RD, DUNNSVILLE, VA 22454-2228
(804) 317-4541

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
AC003339
MD

Other

Enumeration date
10/07/2020
Last updated
10/07/2020
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