Individual
KAYLEE BLYSS HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2953 BROAD AVE, MEMPHIS, TN 38112-2957
(901) 842-3171
Mailing address
3189 MAGNOLIA RIDGE DR, HERNANDO, MS 38632-2496
(901) 562-9835
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8553
TN
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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