Individual
EBONY NICOLE HARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3849 CLOVER LN, HARVEY, LA 70058-1616
(504) 610-5095
Mailing address
3849 CLOVER LN, HARVEY, LA 70058-1616
(504) 610-5095
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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