Individual
MRS. TAMARA DAWN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65201-5276
(573) 882-8176
Mailing address
7951 N HICKORY DR, COLUMBIA, MO 65202-7322
(573) 446-5021
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
2008005369
MO
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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