Individual
PAULA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12379 S READERS CIR, MANAKIN SABOT, VA 23103-2632
(201) 388-6313
Mailing address
12379 S READERS CIR, MANAKIN SABOT, VA 23103-2632
(201) 388-6313
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
06/08/2022
Last updated
06/08/2022
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