Individual
MS. SANDRA LAWAN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8254 118TH AVE N,, SUITE 100, LARGO, FL 33773
(727) 541-5304
(727) 546-8527
Mailing address
5340 CASINO DR, HOLIDAY, FL 34690-6627
(727) 460-8096
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OT6473
FL
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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