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Individual

ERNEST HARVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
205 ENTERPRISE DR STE D, HOUMA, LA 70360-2467
(985) 303-0182
Mailing address
205 ENTERPRISE DR STE D, HOUMA, LA 70360-2467

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1629460456
LA
Enumeration date
12/21/2017
Last updated
11/12/2019
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