Individual
CARLY DIONNE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 ARKAY DRIVE, HAUPPAUGE, NY 11788
(833) 242-1454
Mailing address
43104 POINTSIDE AVE, PRAIRIEVILLE, LA 70769-6497
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
205345
LA
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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