Individual
TELENA T HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3452 PASCAGOULA ST STE 3, PASCAGOULA, MS 39567-3203
(228) 712-8024
(228) 712-8027
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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