Individual
ASANTA KENYATTA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4955 HIGHWAY 6 N, HOUSTON, TX 77084-2718
(281) 463-9148
Mailing address
646 S FLORES ST, SAN ANTONIO, TX 78204-1219
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
135813
TX
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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