Individual
LILY RUTH HARVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1569
Mailing address
48408 BEAVER VALLEY RD, VALLEY SPRINGS, SD 57068-6701
(605) 321-7516
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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