Individual
PATRICIA ANN HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10722 NW 11TH ST, PEMBROKE PINES, FL 33026-4008
(954) 909-9146
Mailing address
4596 N UNIVERSITY DR, LAUDERHILL, FL 33351-4515
(786) 357-7055
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CL1247957
FL
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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