Individual
MS. PAULA M HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 SUCRE CIR, ABBEVILLE, LA 70510-2493
(337) 400-9431
Mailing address
221 SUCRE CIR, ABBEVILLE, LA 70510-2493
(337) 400-9431
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88-2430553
EMPLOYER ID
LA
Enumeration date
07/01/2022
Last updated
03/07/2023
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