Individual
DEBRA H. HARVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOT
Contact information
Practice address
112 CHAVIS SQ, DEQUINCY, LA 70633-3345
(337) 786-4881
Mailing address
112 CHAVIS SQ, P. O. BOX 367, DEQUINCY, LA 70633-3345
(337) 786-4881
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
Z10388
LA
Other
Enumeration date
12/16/2007
Last updated
12/16/2007
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