Individual
HATTIE LEE HARALSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3825 CAMPBELL ROAD, BENTON, MS 39039
(662) 571-9302
Mailing address
3825 CAMPBELL ROAD, BENTON, MS 39039
(662) 571-9302
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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