Individual
AUDREY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
120 FALLOW CV, GEORGETOWN, TX 78628-2124
(254) 723-4398
Mailing address
120 FALLOW CV, GEORGETOWN, TX 78628-2124
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
562049
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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