Individual
MARY E HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
727 WALLACE ST, YORK, PA 17403-1336
(717) 846-0163
Mailing address
727 WALLACE ST, YORK, PA 17403-1336
(717) 846-0163
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN282796
PA
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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